LESLY BENODIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

LESLY

Last Name

BENODIN

Suffix

Business Name

LESLY BENODIN MD

Original Issue Date

02/25/2009

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

MONTGOMERY

State

Zip

77316

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017