BENJAMIN DANIEL RIEGLE DO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003823

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

DANIEL

Last Name

RIEGLE

Business Name

BENJAMIN DANIEL RIEGLE DO

Original Issue Date

08/11/2010

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/25/2016