REBEKAH AUTUMN FISHER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

REBEKAH

Middle

AUTUMN

Last Name

FISHER

Business Name

REBEKAH AUTUMN FISHER

Original Issue Date

07/25/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/31/2008