BENJAMIN HODGES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006721

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

HODGES

Business Name

BENJAMIN HODGES

Original Issue Date

08/24/2018

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

CAROL STREAM

State

Zip

60188

Ever Disciplined

LastModifiedDate

07/27/2022