KIMBERLY BENTLEY BERNREUTER - Physician Assistant License in Illinois | # 085001488

KIMBERLY BENTLEY BERNREUTER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001488

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

BENTLEY

Last Name

BERNREUTER

Business Name

KIMBERLY BENTLEY BERNREUTER

Original Issue Date

11/27/2000

Effective Date

11/27/2000

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006