BENJAMIN C MANNIX MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087391

License Status

INACTIVE

Business

First Name

BENJAMIN C

Last Name

MANNIX

Suffix

Business Name

BENJAMIN C MANNIX MD

Original Issue Date

09/13/1993

Effective Date

09/13/1993

Expiration Date

07/31/1996

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006