STEPHANIE K FRASER - Physician Assistant License in Illinois | # 085004756

STEPHANIE K FRASER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004756

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

K

Last Name

FRASER

Business Name

STEPHANIE K FRASER

Original Issue Date

07/23/2013

Effective Date

02/04/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022