DOROTHY ANNE FEDOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

DOROTHY

Middle

ANNE

Last Name

FEDOR

Business Name

DOROTHY ANNE FEDOR

Original Issue Date

12/14/2001

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025