Benjamin Keith Mattox

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085004596

Status

Expired (Not Renewed)

First issued

January 3, 2013

Expired

March 1, 2016

License holder

Benjamin Keith Mattox

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/10/2014

Other Illinois licenses under this name

• IL
  Benjamin Keith Mattox

  License 38*****23

  Physician Assistant Controlled Substance
  Expired

  Great Lakes, IL

  Expired Mar 1, 2016

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