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Physician Profile Protecting the Public's Health |
| Benjamin H. Licup MD | License Number: | 15363 |
| No current office address on file | License Status: | Revoked |
| License Date: | 5/31/1985 | |
| Phone: | License Renewed: | 2/1/2001 |
| Renew By: | 07/2001 | |
| License Expires: | 11/2002 |
Education and Training
Note: Information up to the date of initial licensure is verified by the Board.
Information provided by the physician after this date is not verified by the Board.
| Medical School: | MANILA CENTRAL UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Date: | 5/16/1966 |
| Residency: | 7/1/1973 - 6/30/1975 (General Surgery) |
| ST THOMAS HOSPITAL | |
| NASHVILLE, TN | |
| *Specialty: | General Practice |
| *Specialty: | General Surgery |
American Board of Medical Specialties website at: http://www.abms.org/ to determine
if the physician has earned a specialty certification from this private agency.
Board Investigations and Actions
(while licensed in Arizona)
| 7/25/1997: | Interim Order (Practice Restriction)- Shall not practice medicine in Arizona until further order of the Board. Order superceded by Revocation effective 11-7-02. |
| 11/7/2002: | Revocation - Unprofessional conduct (failure to obtain score of 75% on SPEX exam; failure to maintain adequate patient records; violation of formal Board order; conduct determined by Board to be gross negligence). |
(Document images [PDF] of Board Actions since 7/98 may be viewed by clicking the action date.
Viewable with Adobe's free Acrobat Reader.)
(while licensed in Arizona; Advisory Letters within last five years)
(Document images [PDF] of Physician responses to Advisory
Letters since 8/99 may be viewed by clicking the action date.
Viewable with Adobe's free Acrobat
Reader.)
OPEN INVESTIGATIONS:
NONE
CASES DISMISSED:
2
(within last five years)
Malpractice/Criminal Information
MALPRACTICE CASES RESULTING IN PAYMENT:
NONE
(within last five years)
CRIMINAL CONVICTIONS/"NO CONTEST" PLEAS: NONE
(within last five years)
Questions? See our Glossary of Terms.
| The Arizona Medical Board presents this information as a service to the public. The Board relies upon information provided by licensees to be true and correct, as required by statute. It is an act of unprofessional conduct for a licensee to provide erroneous information to the Board. The Board makes no warranty or guarantee concerning the accuracy or reliability of the content of this website or the content of any other website to which it may link. Assessing accuracy and reliability of the information obtained from this website is solely the responsibility of the user. Arizona Revised Statutes 32 - 1403 (C) provides that the Board is not liable for errors or for any damages resulting from the use of the information contained herein. |