SAMUEL COLES BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SAMUEL COLES

Last Name

BENNETT

Suffix

Business Name

SAMUEL COLES BENNETT MD

Original Issue Date

08/06/1981

Effective Date

08/06/1981

Expiration Date

07/31/1987

City

AUSTIN

State

Zip

78746

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006