SIDNEY J BENNETT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081690

License Status

INACTIVE

Business

First Name

SIDNEY J

Last Name

BENNETT

Suffix

Business Name

SIDNEY J BENNETT MD

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

07/31/1993

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006