THOMAS O BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

THOMAS O

Last Name

BENNETT

Suffix

Business Name

THOMAS O BENNETT MD

Original Issue Date

07/26/1990

Effective Date

07/26/1990

Expiration Date

07/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020