Idaho
Division of Occupational and Professional Licenses
DR. BENJAMIN DAVID PE
Board Of Medicine
License number
M-11307
Date granted
06/01/2011
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1175 CARONDELET DR RICHLAND WA 99354
idaholicensing.com
ID 48362243
LAST UPDATED 2024-05-12 05:04:24 UTC
LAST UPDATED 2024-05-12 05:04:24 UTC
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