MELANIE LEAH BENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

LEAH

Last Name

BENSON

Business Name

MELANIE LEAH BENSON

Original Issue Date

08/11/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020