MADISON PASCHAL BONHAM Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

INOPERATIVE

Business

First Name

MADISON

Middle

PASCHAL

Last Name

BONHAM

Business Name

MADISON PASCHAL BONHAM

Original Issue Date

06/13/2013

Effective Date

03/07/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018