ALEXANDRA ELIZABETH FRETTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

ELIZABETH

Last Name

FRETTER

Business Name

ALEXANDRA ELIZABETH FRETTER

Original Issue Date

08/22/2017

Effective Date

02/22/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022