MARY L BENSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

BENSON

Business Name

MARY L BENSON

Original Issue Date

03/23/2001

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

ROSEVILLE

State

Zip

61473

County

WARREN

Ever Disciplined

LastModifiedDate

12/18/2019