BENJAMIN BRACKETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

ACTIVE

Business

First Name

BENJAMIN

Last Name

BRACKETT

Business Name

BENJAMIN BRACKETT

Original Issue Date

10/18/2022

Effective Date

02/28/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025