BEN J TITTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

BEN

Middle

Last Name

TITTLE

Business Name

BEN J TITTLE MD

Original Issue Date

10/03/2017

Effective Date

10/03/2017

Expiration Date

09/30/2020

City

DALLAS

State

Zip

75230

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

01/14/2021