TERRA L GRYWALSKI - Physician Assistant License in Illinois | # 085003767

TERRA L GRYWALSKI

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003767

License Status

NOT RENEWED

Business

N

First Name

TERRA

Middle

L

Last Name

GRYWALSKI

Business Name

TERRA L GRYWALSKI

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012