BENJAMIN JOSEPH BREWER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005240

License Status

NOT RENEWED

Business

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

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018