LANE BURNETTE BENES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062821

License Status

CANCELLED

Business

First Name

LANE

Middle

BURNETTE

Last Name

BENES

Suffix

Business Name

LANE BURNETTE BENES MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014