BENJAMIN J LO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092168

License Status

NOT RENEWED

Business

First Name

BENJAMIN J

Last Name

Suffix

Business Name

BENJAMIN J LO MD

Original Issue Date

11/17/1995

Effective Date

11/17/1995

Expiration Date

07/31/2005

City

NEW BUFFALO

State

Zip

49117

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006