KATHLEEN M BENNETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017623

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

Last Name

BENNETT

Business Name

KATHLEEN M BENNETT

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006