BEN J TITTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131581

License Status

NOT RENEWED

Business

Title

First Name

BEN

Middle

Last Name

TITTLE

Business Name

BEN J TITTLE MD

Original Issue Date

10/11/2012

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

DALLAS

State

Zip

75230

Ever Disciplined

LastModifiedDate

11/30/2023