LISA M FANTROY - Physician Assistant License in Illinois | # 085001107

LISA M FANTROY

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001107

License Status

ACTIVE

Business

N

First Name

LISA

Middle

M

Last Name

FANTROY

Business Name

LISA M FANTROY

Original Issue Date

01/05/1999

Effective Date

01/22/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/22/2026