RICHARD C BENNETT II DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

BENNETT II

Suffix

DPM

Business Name

RICHARD C BENNETT II DPM

Original Issue Date

04/13/1988

Effective Date

01/12/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019