GERALD DONALD BENNETT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056987

License Status

NOT RENEWED

Business

First Name

GERALD DONALD

Last Name

BENNETT

Suffix

Business Name

GERALD DONALD BENNETT DO

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1990

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006