KRISTIN DOLD BENNETT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

DOLD

Last Name

BENNETT

Suffix

Business Name

KRISTIN DOLD BENNETT DO

Original Issue Date

03/28/2007

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023