JON ROBERT FOX - Physician Assistant License in Illinois | # 085001388

JON ROBERT FOX

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001388

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014