STEPHANIE K FRASER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004756

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FRASER

Business Name

STEPHANIE K FRASER

Original Issue Date

07/23/2013

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022