RANDI LYNN FABSITS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

LYNN

Last Name

FABSITS

Business Name

RANDI LYNN FABSITS

Original Issue Date

11/26/2018

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022