DIANE B FOSTER - Physician Assistant License in Illinois | # 085000306

DIANE B FOSTER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000306

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

B

Last Name

FOSTER

Business Name

DIANE B FOSTER

Original Issue Date

11/15/1985

Effective Date

03/13/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020