DIANE B FOSTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

FOSTER

Business Name

DIANE B FOSTER

Original Issue Date

03/16/2001

Effective Date

03/13/2018

Expiration Date

03/01/2020

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

11/24/2020