CHANTAL NONA BERRY RUBEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007692

License Status

ACTIVE

Business

First Name

CHANTAL

Middle

NONA BERRY

Last Name

RUBEN

Business Name

CHANTAL NONA BERRY RUBEN

Original Issue Date

05/29/2020

Effective Date

02/13/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60634

Ever Disciplined

LastModifiedDate

12/03/2025