KASEY L PONTARELLI - Physician Assistant License in Illinois | # 085005706

KASEY L PONTARELLI

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005706

License Status

NOT RENEWED

Business

N

First Name

KASEY

Middle

L

Last Name

PONTARELLI

Business Name

KASEY L PONTARELLI

Original Issue Date

10/09/2015

Effective Date

02/25/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025