BENJAMIN J KOLNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

KOLNER

Business Name

BENJAMIN J KOLNER

Original Issue Date

03/19/2014

Effective Date

03/08/2016

Expiration Date

03/01/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2018