MARYAM MICHELLE BEINTEMA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008470

License Status

ACTIVE

Business

First Name

MARYAM

Middle

MICHELLE

Last Name

BEINTEMA

Business Name

MARYAM MICHELLE BEINTEMA

Original Issue Date

07/19/2021

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60208

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2026