PATRICK JAMES 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

Title

First Name

PATRICK

Middle

JAMES

Last Name

BENNETT

Business Name

PATRICK JAMES BENNETT MD

Original Issue Date

08/28/2017

Effective Date

10/23/2025

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021