DAVID J BENTREM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034470

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

BENTREM

Suffix

Business Name

DAVID J BENTREM MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

07/21/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2009