AMY LYNN RONTAL - Physician Assistant License in Illinois | # 085001736

AMY LYNN RONTAL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001736

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

LYNN

Last Name

RONTAL

Business Name

AMY LYNN RONTAL

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006