BEN L HOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077006

License Status

INACTIVE

Business

First Name

BEN L

Last Name

HOM

Suffix

Business Name

BEN L HOM MD

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

07/31/1990

City

WAUKEE

State

Zip

50263

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006