SONAM TANTUWAYA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

SONAM

Last Name

TANTUWAYA

Business Name

SONAM TANTUWAYA

Original Issue Date

11/01/2019

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026