BRUCE BENNIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045803

License Status

ACTIVE

Business

First Name

BRUCE

Last Name

BENNIN

Suffix

Business Name

BRUCE BENNIN MD

Original Issue Date

07/31/1972

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023