Lisa A Fosnot
ExpiredIllinois license 125065627
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125065627
- Status
- Expired
- First issued
- July 1, 2014
- Expired
- June 30, 2017
- License holder
- Lisa A Fosnot
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Internal Medicine
- Current term began
- 07/01/2014
Other Illinois licenses under this name
-
IL
ExpiredBloomington, ILExpired Mar 31, 2005
-
IL
InactiveBloomington, ILExpired Mar 31, 2013
Contact
Peoria, IL 61605
Peoria County