KRISTIN DOLD BENNETT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048059

License Status

EXPIRED

Business

First Name

KRISTIN

Middle

DOLD

Last Name

BENNETT

Suffix

Business Name

KRISTIN DOLD BENNETT DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/03/2007