KATHRYN KRISTINE BENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

KRISTINE

Last Name

BENSON

Business Name

KATHRYN KRISTINE BENSON

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

03/01/2010

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2010