JEFFREY I BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021129

License Status

EXPIRED

Business

First Name

JEFFREY I

Last Name

BENNETT

Suffix

Business Name

JEFFREY I BENNETT MD

Original Issue Date

06/03/1987

Effective Date

06/03/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006