Benjamin Keith Mattox
ExpiredIllinois license 38*****23
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****23
- Status
- Expired (Not Renewed)
- First issued
- December 1, 2014
- Expired
- March 1, 2016
- License holder
- Benjamin Keith Mattox
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/01/2014
Other Illinois licenses under this name
-
IL
ExpiredGreat Lakes, ILExpired Mar 1, 2016
Contact
Great Lakes, IL 60088
Lake County