SARAH MARIE FOERTSCH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

INOPERATIVE

Business

First Name

SARAH

Middle

MARIE

Last Name

FOERTSCH

Business Name

SARAH MARIE FOERTSCH

Original Issue Date

08/17/2011

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018