JOHN DAVID BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101736

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

DAVID

Last Name

BENNETT

Suffix

Business Name

JOHN DAVID BENNETT MD

Original Issue Date

12/21/1999

Effective Date

12/21/1999

Expiration Date

07/31/2005

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006