LATANYA TAMARA BENJAMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121504

License Status

NOT RENEWED

Business

Title

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

City

MENLO PARK

State

Zip

94025

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014