ANDREA MARIE FONACIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006509

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MARIE

Last Name

FONACIER

Business Name

ANDREA MARIE FONACIER

Original Issue Date

02/09/2018

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

HIGHLAND PARK

State

Zip

60035

Ever Disciplined

LastModifiedDate

02/19/2026