ADAM BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039441

License Status

EXPIRED

Business

Title

First Name

ADAM

Last Name

BENNETT

Business Name

ADAM BENNETT MD

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006