BENJAMIN LEE SCHROCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007230

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

LEE

Last Name

SCHROCK

Business Name

BENJAMIN LEE SCHROCK

Original Issue Date

08/22/2019

Effective Date

08/22/2019

Expiration Date

03/01/2020

City

GOSHEN

State

Zip

46528

Ever Disciplined

LastModifiedDate

11/24/2020