CASEY NOEL FOX - Physician Assistant License in Illinois | # 085006131

CASEY NOEL FOX

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006131

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020