AMY LYNN RONTAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001736

License Status

NOT RENEWED

Business

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

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006