COURTNEY LEE KENTALA - Physician Assistant License in Illinois | # 085009038

COURTNEY LEE KENTALA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009038

License Status

ACTIVE

Business

N

First Name

COURTNEY

Middle

LEE

Last Name

KENTALA

Business Name

COURTNEY LEE KENTALA

Original Issue Date

07/15/2022

Effective Date

01/22/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/22/2026