Department of State
Board of Medicine
SHANTE DOMINIQUE BENNETT
Graduate Medical Trainee
License number
MT200201
Date granted
06/03/2011
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Taylors SC 29687
medicinepa.com
ID 37521432
LAST UPDATED 2024-04-02 09:35:53 UTC
LAST UPDATED 2024-04-02 09:35:53 UTC
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