BENJAMIN M HOLMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

HOLMAN

Business Name

BENJAMIN M HOLMAN

Original Issue Date

08/24/2006

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026