ROBERT FONTANILLA - Physician Assistant License in Illinois | # 085009155

ROBERT FONTANILLA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009155

License Status

ACTIVE

Business

N

First Name

ROBERT

Last Name

FONTANILLA

Business Name

ROBERT FONTANILLA

Original Issue Date

08/04/2022

Effective Date

02/15/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025