ALAN ELLIOTT BENTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028588

License Status

EXPIRED

Business

Title

First Name

ALAN

Middle

ELLIOTT

Last Name

BENTZ

Business Name

ALAN ELLIOTT BENTZ MD

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006