DIANNE J BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021960

License Status

EXPIRED

Business

First Name

DIANNE J

Last Name

BENNETT

Suffix

Business Name

DIANNE J BENNETT MD

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

06/22/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006