STEPHEN BENSON MACENAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

BENSON

Last Name

MACENAS

Business Name

STEPHEN BENSON MACENAS

Original Issue Date

04/20/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025