BENJAMIN PARKER CROSS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

PARKER

Last Name

CROSS

Business Name

BENJAMIN PARKER CROSS

Original Issue Date

08/10/2023

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026