JON ROBERT FOX Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

INOPERATIVE

Business

First Name

JON

Middle

ROBERT

Last Name

FOX

Business Name

JON ROBERT FOX

Original Issue Date

03/13/2001

Effective Date

12/29/2011

Expiration Date

03/01/2014

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/08/2013