LESLY BENODIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122536

License Status

INACTIVE

Business

First Name

LESLY

Last Name

BENODIN

Suffix

Business Name

LESLY BENODIN MD

Original Issue Date

01/30/2009

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

FISHKILL

State

Zip

12524

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/12/2017