GRETCHEN WAYNE FAWCETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

GRETCHEN

Middle

WAYNE

Last Name

FAWCETT

Business Name

GRETCHEN WAYNE FAWCETT

Original Issue Date

08/27/2001

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

IPAVA

State

Zip

61441

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025