JOANN BENNETT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JOANN

Last Name

BENNETT

Suffix

Business Name

JOANN BENNETT DO

Original Issue Date

11/04/1982

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

GLENVIEW

State

Zip

60025

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021