ERIC J BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075878

License Status

NOT RENEWED

Business

First Name

ERIC J

Last Name

BENNETT

Suffix

Business Name

ERIC J BENNETT MD

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

07/31/1999

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006