TERESA LOUISE FRANZEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

TERESA LOUISE

Last Name

FRANZEN

Business Name

TERESA LOUISE FRANZEN

Original Issue Date

09/02/2016

Effective Date

01/28/2020

Expiration Date

03/01/2022

City

FAIRFIELD

State

Zip

52556

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022