BENJAMIN DAVID PE MD - Medical Doctor License in Washington | # 036087293

BENJAMIN DAVID PE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087293

License Status

INACTIVE

Business

N

First Name

BENJAMIN DAVID

Last Name

PE

Suffix

MD

Business Name

BENJAMIN DAVID PE MD

Original Issue Date

08/25/1993

Effective Date

04/19/2011

Expiration Date

07/31/2014

State

WA

Ever Disciplined

N

LastModifiedDate

04/08/2014