SHELBY J BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132829

License Status

NOT RENEWED

Business

Title

First Name

SHELBY

Middle

Last Name

BENNETT

Business Name

SHELBY J BENNETT MD

Original Issue Date

05/09/2013

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017