KIMBERLY H BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036254

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

BENNETT

Suffix

Business Name

KIMBERLY H BENNETT MD

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/15/2000

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006