DAVID BENJAMIN ESPARAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069676

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

BENJAMIN

Last Name

ESPARAZ

Business Name

DAVID BENJAMIN ESPARAZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/09/2016