NELSON C BENNETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019452

License Status

EXPIRED

Business

First Name

NELSON C

Last Name

BENNETT

Business Name

NELSON C BENNETT

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

05/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006