LANE BURNETTE BENES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139927

License Status

NOT RENEWED

Business

First Name

LANE

Middle

BURNETTE

Last Name

BENES

Suffix

Business Name

LANE BURNETTE BENES MD

Original Issue Date

03/03/2016

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021