LANE BURNETTE BENES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

LANE

Middle

BURNETTE

Last Name

BENES

Suffix

Business Name

LANE BURNETTE BENES MD

Original Issue Date

03/03/2016

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021