Renata B Ptak

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085003716

Status

Inactive

First issued

March 31, 2010

Expired

March 1, 2012

License holder

Renata B Ptak

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/31/2010

Other Illinois licenses under this name

• IL
  Renata B Ptak

  License 38*****19

  Physician Assistant Controlled Substance
  Expired

  Park Ridge, IL

  Expired Mar 1, 2012

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