LATANYA TAMARA BENJAMIN MD - Medical Doctor License in California | # 036121504

LATANYA TAMARA BENJAMIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121504

License Status

NOT RENEWED

Business

N

Title

MD

First Name

LATANYA

Middle

TAMARA

Last Name

BENJAMIN

Business Name

LATANYA TAMARA BENJAMIN MD

Original Issue Date

07/16/2008

Effective Date

08/01/2011

Expiration Date

07/31/2014

State

CA

Ever Disciplined

N

LastModifiedDate

11/17/2014