BENJAMIN M SANTOS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003568

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

SANTOS

Suffix

DPM

Business Name

BENJAMIN M SANTOS DPM

Original Issue Date

06/24/1983

Effective Date

12/21/2016

Expiration Date

01/31/2019

City

LAKE CITY

State

Zip

32055

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2018