TUCKER DAVEY BENJAMIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

TUCKER

Middle

DAVEY

Last Name

BENJAMIN

Business Name

TUCKER DAVEY BENJAMIN

Original Issue Date

04/14/2016

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

HOFFMAN ESTATES

State

Zip

60192

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2025