SHARON ANN BENACH Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000196

License Status

INACTIVE

Business

First Name

SHARON ANN

Last Name

BENACH

Business Name

SHARON ANN BENACH

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

03/01/1994

City

PHOENIX

State

Zip

85014

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/26/2006