STEPHANIE NICOLE LEVERENTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006124

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

LEVERENTZ

Business Name

STEPHANIE NICOLE LEVERENTZ

Original Issue Date

02/07/2017

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ALGONQUIN

State

Zip

60102

Ever Disciplined

LastModifiedDate

02/12/2026