BENJAMIN WAYNE LIGHT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102750

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

WAYNE

Last Name

LIGHT

Suffix

Business Name

BENJAMIN WAYNE LIGHT MD

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

07/31/2005

City

DECATUR

State

Zip

35601

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/09/2006