GREGORY L BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088610

License Status

NOT RENEWED

Business

First Name

GREGORY L

Last Name

BENNETT

Suffix

Business Name

GREGORY L BENNETT MD

Original Issue Date

06/21/1994

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021