KORTE BENJAMIN KNOBLAUCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

KORTE

Middle

BENJAMIN

Last Name

KNOBLAUCH

Business Name

KORTE BENJAMIN KNOBLAUCH

Original Issue Date

09/17/2015

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025