BENJAMIN H ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004742

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

ANDERSON

Business Name

BENJAMIN H ANDERSON

Original Issue Date

07/23/2013

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2025