PAUL BENNETT II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076905

License Status

INACTIVE

Business

First Name

PAUL

Last Name

BENNETT II

Suffix

Business Name

PAUL BENNETT II MD

Original Issue Date

04/19/1988

Effective Date

04/19/1988

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006