BENJAMIN DANIEL RIEGLE DO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

DANIEL

Last Name

RIEGLE

Business Name

BENJAMIN DANIEL RIEGLE DO

Original Issue Date

09/03/2010

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/25/2016