MARY TODD BRINKOETTER SCHUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

MARY

Middle

TODD

Last Name

BRINKOETTER SCHUM

Business Name

MARY TODD BRINKOETTER SCHUM

Original Issue Date

02/09/2016

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020