ALISSA J ZIMMERMAN BENNETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062318

License Status

EXPIRED

Business

Title

First Name

ALISSA

Middle

Last Name

ZIMMERMAN BENNETT

Business Name

ALISSA J ZIMMERMAN BENNETT MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015