PAUL A BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054875

License Status

ACTIVE

Business

First Name

PAUL A

Last Name

BENNETT

Suffix

Business Name

PAUL A BENNETT MD

Original Issue Date

07/14/1977

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/15/2023