BENJAMIN M IANZITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046472

License Status

NOT RENEWED

Business

First Name

BENJAMIN M

Last Name

IANZITO

Suffix

Business Name

BENJAMIN M IANZITO MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

Expiration Date

07/01/1978

City

LONGMEADOW

State

Zip

01106

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/28/2008