DOROTHY ANNE FEDOR - Physician Assistant License in Illinois | # 085001477

DOROTHY ANNE FEDOR

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001477

License Status

ACTIVE

Business

N

First Name

DOROTHY

Middle

ANNE

Last Name

FEDOR

Business Name

DOROTHY ANNE FEDOR

Original Issue Date

11/08/2000

Effective Date

12/03/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025