BENJAMIN WARREN RAATJES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126347

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

WARREN

Last Name

RAATJES

Business Name

BENJAMIN WARREN RAATJES MD

Original Issue Date

07/28/2010

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10016

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017