Jacqueline Ann Marie Benjamin
ExpiredCalifornia license A77777
License
- Licensed by
- Medical Board of California
- License number
- A77777
- Status
- Expired (Delinquent)
- First issued
- January 30, 2002
- Expired
- December 31, 2025
- License holder
- Jacqueline Ann Marie Benjamin
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
5329 Koontz Dr
Charleston, WV 25313-1045
Charleston, WV 25313-1045
Kanawha County