SOPHIA MAE EDWARDS-BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

SOPHIA

Middle

MAE

Last Name

EDWARDS-BENNETT

Business Name

SOPHIA MAE EDWARDS-BENNETT MD

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026