CARLOS LUIS BENITEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111279

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

LUIS

Last Name

BENITEZ

Suffix

Business Name

CARLOS LUIS BENITEZ MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10028

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006