BETHANY MAE FRISBY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

MAE

Last Name

FRISBY

Business Name

BETHANY MAE FRISBY

Original Issue Date

04/03/2020

Effective Date

02/14/2022

Expiration Date

03/01/2024

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025