KIMBERLY BENTLEY BERNREUTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001488

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006