LIBBE LIZABETH HASSENFRITZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

LIBBE

Middle

LIZABETH

Last Name

HASSENFRITZ

Business Name

LIBBE LIZABETH HASSENFRITZ

Original Issue Date

11/27/2013

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022