BRIAN THOMAS BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101978

License Status

ACTIVE

Business

First Name

BRIAN

Middle

THOMAS

Last Name

BENNETT

Suffix

Business Name

BRIAN THOMAS BENNETT MD

Original Issue Date

02/17/2000

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

06/10/2023