BENJAMIN NATHAN MASSAT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

NATHAN

Last Name

MASSAT

Business Name

BENJAMIN NATHAN MASSAT DO

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2023