ANDREA MARIE FONACIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MARIE

Last Name

FONACIER

Business Name

ANDREA MARIE FONACIER

Original Issue Date

03/27/2018

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026