STEPHEN G BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

STEPHEN G

Last Name

BENNETT

Suffix

Business Name

STEPHEN G BENNETT MD

Original Issue Date

10/21/1986

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023