JOHN ALOYSIUS BENNAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039762

License Status

INACTIVE

Business

First Name

JOHN ALOYSIUS

Last Name

BENNAN

Suffix

Business Name

JOHN ALOYSIUS BENNAN MD

Original Issue Date

07/01/1965

Effective Date

07/01/1965

Expiration Date

07/31/1987

City

PRESCOTT

State

Zip

86301

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006