ROBERT FONTANILLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

ACTIVE

Business

First Name

ROBERT

Last Name

FONTANILLA

Business Name

ROBERT FONTANILLA

Original Issue Date

11/28/2022

Effective Date

02/15/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025