KATELYN ELIZABETH BENNETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003328

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

ELIZABETH

Last Name

BENNETT

Business Name

KATELYN ELIZABETH BENNETT

Original Issue Date

09/23/2008

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016