ALLAN GIRARD BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ALLAN GIRARD

Last Name

BENNETT

Suffix

Business Name

ALLAN GIRARD BENNETT MD

Original Issue Date

01/01/1997

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017