NELSON EDDIE BENNETT JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140620

License Status

ACTIVE

Business

Title

First Name

NELSON

Middle

EDDIE

Last Name

BENNETT

Suffix

Business Name

NELSON EDDIE BENNETT JR MD

Original Issue Date

05/09/2016

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023