NELSON EDDIE BENNETT JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

NELSON

Middle

EDDIE

Last Name

BENNETT

Suffix

Business Name

NELSON EDDIE BENNETT JR MD

Original Issue Date

05/09/2016

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023