BENNETT J KING DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001111

License Status

EXPIRED

Business

Title

DPM

First Name

BENNETT

Middle

Last Name

KING

Business Name

BENNETT J KING DPM

Original Issue Date

05/27/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2025