BENJAMIN JOSEPH BREWER - Physician Assistant License in Illinois | # 085005240

BENJAMIN JOSEPH BREWER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005240

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

JOSEPH

Last Name

BREWER

Business Name

BENJAMIN JOSEPH BREWER

Original Issue Date

09/19/2014

Effective Date

02/05/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018