SARAH KING FREEBURG

Business Entity
INOPERATIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****48

INOPERATIVE

N

SARAH

KING

FREEBURG

SARAH KING FREEBURG

09/27/2016

01/08/2020

03/01/2022

LOCKPORT

IL

60441

GRUNDY

N

01/03/2022