BENJAMIN RICHARD TELLIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007226

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

RICHARD

Last Name

TELLIER

Business Name

BENJAMIN RICHARD TELLIER

Original Issue Date

08/21/2019

Effective Date

12/28/2023

Expiration Date

03/01/2026

City

MONONA

State

Zip

53716

Ever Disciplined

LastModifiedDate

12/03/2025