COURTNEY LEE KENTALA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009038

License Status

ACTIVE

Business

First Name

COURTNEY

Middle

LEE

Last Name

KENTALA

Business Name

COURTNEY LEE KENTALA

Original Issue Date

07/15/2022

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026