JAMES E BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101673

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

BENNETT

Suffix

Business Name

JAMES E BENNETT MD

Original Issue Date

12/03/1999

Effective Date

12/03/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006