STEPHANIE NICOLE LEVERENTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

LEVERENTZ

Business Name

STEPHANIE NICOLE LEVERENTZ

Original Issue Date

02/21/2017

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026