RICHARD C BENNETT II DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004014

License Status

INACTIVE

Business

First Name

RICHARD C

Last Name

BENNETT II

Suffix

DPM

Business Name

RICHARD C BENNETT II DPM

Original Issue Date

07/15/1986

Effective Date

01/12/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2018