ALVA JAMES BENNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044280

License Status

NOT RENEWED

Business

First Name

ALVA JAMES

Last Name

BENNETT

Suffix

Business Name

ALVA JAMES BENNETT MD

Original Issue Date

06/22/1971

Effective Date

06/22/1971

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006