RANDI LYNN FABSITS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006847

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

LYNN

Last Name

FABSITS

Business Name

RANDI LYNN FABSITS

Original Issue Date

11/26/2018

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022