BRIAN THOMAS BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

BRIAN

Middle

THOMAS

Last Name

BENNETT

Suffix

Business Name

BRIAN THOMAS BENNETT MD

Original Issue Date

02/23/2000

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023