SARAH CATHERINE SPELSBERG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CATHERINE

Last Name

SPELSBERG

Business Name

SARAH CATHERINE SPELSBERG

Original Issue Date

05/13/2020

Effective Date

05/13/2020

Expiration Date

03/01/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022