MARY CATHERINE BENTLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

NOT RENEWED

Business

First Name

MARY CATHERINE

Last Name

BENTLER

Business Name

MARY CATHERINE BENTLER

Original Issue Date

01/06/2017

Effective Date

01/06/2017

Expiration Date

03/01/2018

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/10/2018