CHARLES L BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012733

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

BENNETT

Suffix

Business Name

CHARLES L BENNETT MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2009