CARRIE SUE FORTMAN
Physician Assistant Controlled Substance
Illinois 385000221 Active
This Illinois license is held by CARRIE SUE FORTMAN. The license is currently active. It was granted on 03/09/2001 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385000221
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 03/09/2001 (about 24 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
CAROL STREAM, IL 60188
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