BENJAMIN FOREST PLUCKNETTE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147240

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

FOREST

Last Name

PLUCKNETTE

Business Name

BENJAMIN FOREST PLUCKNETTE DO

Original Issue Date

08/16/2018

Effective Date

08/16/2018

Expiration Date

09/30/2020

City

SAN ANTONIO

State

Zip

78258

Ever Disciplined

LastModifiedDate

01/14/2021