GREGOR F BENNETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000365

License Status

NOT RENEWED

Business

First Name

GREGOR F

Last Name

BENNETT

Business Name

GREGOR F BENNETT

Original Issue Date

08/17/1988

Effective Date

08/17/1988

Expiration Date

03/01/1992

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006