KATHLEEN LACCI BIENIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

LACCI

Last Name

BIENIA

Business Name

KATHLEEN LACCI BIENIA

Original Issue Date

03/22/2010

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60616

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025