ANDREA BETH FULCOMER - Physician Assistant License in Illinois | # 085004757

ANDREA BETH FULCOMER

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004757

License Status

ACTIVE

Business

N

First Name

ANDREA

Middle

BETH

Last Name

FULCOMER

Business Name

ANDREA BETH FULCOMER

Original Issue Date

07/23/2013

Effective Date

02/14/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025