SARAH ELIZABETH FAHNHORST DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

ELIZABETH

Last Name

FAHNHORST

Business Name

SARAH ELIZABETH FAHNHORST DO

Original Issue Date

07/11/2016

Effective Date

07/11/2016

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017