BENJAMIN J KOLNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004768

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

KOLNER

Business Name

BENJAMIN J KOLNER

Original Issue Date

07/25/2013

Effective Date

03/08/2016

Expiration Date

03/01/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2018