ERICA CHRISTINE BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099163

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

CHRISTINE

Last Name

BENNETT

Suffix

Business Name

ERICA CHRISTINE BENNETT MD

Original Issue Date

10/06/1998

Effective Date

10/06/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006