NELSON C BENNETT Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075434

License Status

INACTIVE

Business

First Name

NELSON C

Last Name

BENNETT

Business Name

NELSON C BENNETT

Original Issue Date

07/08/1987

Effective Date

07/08/1987

Expiration Date

07/31/1990

City

DECATUR

State

Zip

30033

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006