WHITNEY RACHELLE FRITZIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

RACHELLE

Last Name

FRITZIE

Business Name

WHITNEY RACHELLE FRITZIE

Original Issue Date

02/18/2016

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018