License holder summary

Kelly Rae Benthem is a Physician Assistant - Medical licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 03/15/1989 and expired on 08/31/1994.

New Mexico

Regulation & Licensing Department

Kelly Rae Benthem
Physician Assistant - Medical
License number
89-PA04
Date granted
03/15/1989
Date expires
08/31/1994
Class
Physician Assistant - Medical
Status
Inactive
licensingnm.com
ID 5275437
LAST UPDATED 2024-02-04 22:41:26 UTC

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