BENJAMIN JACOB ROTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005905

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JACOB

Last Name

ROTH

Business Name

BENJAMIN JACOB ROTH

Original Issue Date

07/20/2016

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/03/2026