BENITO BLANCO PEREZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105398

License Status

INACTIVE

Business

First Name

BENITO

Middle

BLANCO

Last Name

PEREZ

Suffix

Business Name

BENITO BLANCO PEREZ MD

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

07/31/2002

City

GOSHEN

State

Zip

46526

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006