ANDREA D BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029992

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

BENNETT

Suffix

Business Name

ANDREA D BENNETT MD

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006