SARAH ELIZABETH REIFSTECK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

REIFSTECK

Business Name

SARAH ELIZABETH REIFSTECK

Original Issue Date

06/23/2016

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022