RON ISAAC BENJAMIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146420

License Status

NOT RENEWED

Business

Title

First Name

RON

Middle

ISAAC

Last Name

BENJAMIN

Business Name

RON ISAAC BENJAMIN DO

Original Issue Date

06/14/2018

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

PHILADELPHIA

State

Zip

19143

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021