DAVID BENJAMIN JAEGER - Physician Assistant License in Illinois | # 085004399

DAVID BENJAMIN JAEGER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004399

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

BENJAMIN

Last Name

JAEGER

Business Name

DAVID BENJAMIN JAEGER

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014