BENJAMIN M AULIFF Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

INOPERATIVE

Business

First Name

BENJAMIN

Middle

Last Name

AULIFF

Business Name

BENJAMIN M AULIFF

Original Issue Date

06/06/2013

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/18/2019