DAVID BENJAMIN JAEGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004399

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014