Carrie Sue Fortman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085001080

Status

Inactive

First issued

August 10, 1998

Expired

March 1, 2024

License holder

Carrie Sue Fortman

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/10/2022

Other Illinois licenses under this name

• IL
  Carrie Sue Fortman

  License 38*****21

  Physician Assistant Controlled Substance
  Inactive

  Elgin, IL

  Expired Mar 1, 2024

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