SHARON DENISE FELLINGHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

SHARON

Middle

DENISE

Last Name

FELLINGHAM

Business Name

SHARON DENISE FELLINGHAM

Original Issue Date

09/24/2002

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/01/2026