Kassia Rose Fortuna
ExpiredIllinois license 085006086
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085006086
- Status
- Expired (Not Renewed)
- First issued
- December 7, 2016
- Expired
- March 1, 2022
- License holder
- Kassia Rose Fortuna
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/24/2019
Contact
Lebanon, IL 62254
Saint Clair County