MICHELE BENA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008229

License Status

NOT RENEWED

Business

First Name

MICHELE

Last Name

BENA

Business Name

MICHELE BENA

Original Issue Date

02/25/2021

Effective Date

02/25/2021

Expiration Date

03/01/2022

City

SAINT LOUIS

State

Zip

63122

Ever Disciplined

LastModifiedDate

07/27/2022