KRISANDRA LYNN BANET Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

KRISANDRA

Middle

LYNN

Last Name

BANET

Business Name

KRISANDRA LYNN BANET

Original Issue Date

02/02/2023

Effective Date

02/02/2023

Expiration Date

03/01/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025