CATHERINE TAN BENITEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115885

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

TAN

Last Name

BENITEZ

Business Name

CATHERINE TAN BENITEZ

Original Issue Date

05/09/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GRAND RAPIDS

State

Zip

49525

Ever Disciplined

LastModifiedDate

11/06/2008