CHRISTIAN BONZHEIM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Last Name

BONZHEIM

Business Name

CHRISTIAN BONZHEIM

Original Issue Date

01/11/2021

Effective Date

01/11/2021

Expiration Date

03/01/2022

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022