ALLAN GIRARD BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039205

License Status

NOT RENEWED

Business

First Name

ALLAN GIRARD

Last Name

BENNETT

Suffix

Business Name

ALLAN GIRARD BENNETT MD

Original Issue Date

08/17/1964

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017