KATHRYN KRISTINE BENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003099

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

KRISTINE

Last Name

BENSON

Business Name

KATHRYN KRISTINE BENSON

Original Issue Date

10/11/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2010