Kurt Jacob Bennett Od
ExpiredIllinois license 34*****02
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 34*****02
- Status
- Expired (Not Renewed)
- First issued
- October 15, 2013
- Expired
- March 31, 2014
- License holder
- Kurt Jacob Bennett
- Entity type
- Individual
Classifications
- Optometrist Controlled Substance (Optometry) Vision & Hearing
More from the license record
- Specialty
- Pharm Distributor
- Controlled substance schedules
- III
- Current term began
- 10/15/2013
Other Illinois licenses under this name
-
IL
InactiveBaltimore, MDExpired Mar 31, 2014
Contact
Godfrey, IL 62035
Madison County