BENJAMIN LLOYD WITT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051791

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

LLOYD

Last Name

WITT

Suffix

Business Name

BENJAMIN LLOYD WITT MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

SALT LAKE CITY

State

Zip

84108

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006