SARAH MARIE FOERTSCH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004052

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MARIE

Last Name

FOERTSCH

Business Name

SARAH MARIE FOERTSCH

Original Issue Date

07/08/2011

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018