MARNI B RABEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

NOT RENEWED

Business

First Name

MARNI

Middle

Last Name

RABEN

Business Name

MARNI B RABEN

Original Issue Date

10/10/2001

Effective Date

01/19/2022

Expiration Date

03/01/2024

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025