LINDA MARIE FALLER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

INOPERATIVE

Business

First Name

LINDA

Middle

MARIE

Last Name

FALLER

Business Name

LINDA MARIE FALLER

Original Issue Date

03/23/2001

Effective Date

06/01/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

12/19/2013