BENJAMIN WALTER DONALD ILES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155227

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

WALTER DONALD

Last Name

ILES

Business Name

BENJAMIN WALTER DONALD ILES DO

Original Issue Date

01/06/2021

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

LYNNWOOD

State

Zip

98036

Ever Disciplined

LastModifiedDate

07/22/2023