NATASHA MARIE BENKOVICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005527

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

MARIE

Last Name

BENKOVICH

Business Name

NATASHA MARIE BENKOVICH

Original Issue Date

07/06/2015

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018