CHANTAL NONA BERRY RUBEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

CHANTAL

Middle

NONA BERRY

Last Name

RUBEN

Business Name

CHANTAL NONA BERRY RUBEN

Original Issue Date

07/09/2020

Effective Date

02/13/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60634

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025