SUSAN WHITELOCK BENNETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142004

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

WHITELOCK

Last Name

BENNETT

Business Name

SUSAN WHITELOCK BENNETT MD

Original Issue Date

11/17/2016

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

EDINA

State

Zip

55435

Ever Disciplined

LastModifiedDate

06/18/2023