LISA KATHERINE FASONE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007338

License Status

ACTIVE

Business

First Name

LISA

Middle

KATHERINE

Last Name

FASONE

Business Name

LISA KATHERINE FASONE

Original Issue Date

10/01/2019

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/10/2025