CHARU M LEVERENTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004176

License Status

ACTIVE

Business

First Name

CHARU

Middle

Last Name

LEVERENTZ

Business Name

CHARU M LEVERENTZ

Original Issue Date

09/30/2011

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2025