BENNETT EVERETT BARCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054843

License Status

EXPIRED

Business

Title

First Name

BENNETT

Middle

EVERETT

Last Name

BARCH

Business Name

BENNETT EVERETT BARCH MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/07/2013