KENNETH GENE BENNET MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048836

License Status

EXPIRED

Business

Title

First Name

KENNETH

Middle

GENE

Last Name

BENNET

Business Name

KENNETH GENE BENNET MD

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

11/15/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

01/26/2007