License holder summary

BENJAMIN GLEN LEAVITT is a Medical - Physician In A Residency Program licensed to practice in Alaska. The address on file for BENJAMIN GLEN LEAVITT is 1423 N JEFFERSON AVE A-100 SPRINGFIELD MO 65802. This licensed professional license is current. The license was granted 11/22/2005 and expired on 12/09/2005.

Alaska

Division of Corporations, Business and Professional Licensing

BENJAMIN GLEN LEAVITT
Medical - Physician In A Residency Program
License number
3654
Date granted
11/22/2005
Date expires
12/09/2005
Class
Medical - Physician In A Residency Program
Status
Licensed
Address
1423 N JEFFERSON AVE A-100 SPRINGFIELD MO 65802
alaskalicensing.com
ID 20452874
LAST UPDATED 2024-03-21 19:18:05 UTC

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