KATE W FONTANA

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****87

ACTIVE

N

KATE

W

FONTANA

KATE W FONTANA

10/13/2009

01/07/2026

03/01/2028

ELK GROVE VILLAGE

IL

60007

COOK

II III IV V

N

01/07/2026