Carrie Sue Fortman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****21

Status

Inactive

First issued

March 9, 2001

Expired

March 1, 2024

License holder

Carrie Sue Fortman

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Delegated controlled substance schedules

II III IV V

Current term began

01/11/2022

Other Illinois licenses under this name

• IL
  Carrie Sue Fortman

  License 085001080

  Licensed Physician Assistant
  Inactive

  Geneva, IL

  Expired Mar 1, 2024

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