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BENJAMIN WATKINS LACY V

License Number: ME128307

Data As Of 5/28/2024

Profession Medical Doctor
License ME128307
License Status CLEAR/Active
License Expiration Date 1/31/2026
License Original Issue Date 05/12/2016
Address of Record 6277 A1A South
Unit 202
ST. AUGUSTINE, FL 32080
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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