DOROTHY ANNE FEDOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001477

License Status

ACTIVE

Business

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

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025