TANNER JAMES BENNETT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086096

License Status

ACTIVE

Business

Title

First Name

TANNER

Middle

JAMES

Last Name

BENNETT

Business Name

TANNER JAMES BENNETT DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/30/2025