JON ROBERT FOX Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001388

License Status

NOT RENEWED

Business

First Name

JON

Middle

ROBERT

Last Name

FOX

Business Name

JON ROBERT FOX

Original Issue Date

06/16/2000

Effective Date

12/29/2011

Expiration Date

03/01/2014

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

04/08/2014