BENJAMIN WISOTSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Last Name

WISOTSKY

Business Name

BENJAMIN WISOTSKY MD

Original Issue Date

10/11/2022

Effective Date

10/11/2022

Expiration Date

07/31/2023

City

ROCKVILLE

State

Zip

20852

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023