Gina Marie Fasano PA-C
ExpiredIllinois license 085007646
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085007646
- Status
- Expired (Not Renewed)
- First issued
- May 4, 2020
- Expired
- March 1, 2022
- License holder
- Gina Marie Fasano
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 05/04/2020
Contact
Long Grove, IL 60047
Lake County