MELANIE LEAH BENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005053

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

LEAH

Last Name

BENSON

Business Name

MELANIE LEAH BENSON

Original Issue Date

05/19/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

11/24/2020