CASEY NOEL FOX Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006131

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

NOEL

Last Name

FOX

Business Name

CASEY NOEL FOX

Original Issue Date

02/14/2017

Effective Date

02/08/2018

Expiration Date

03/01/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020