KATIE LYNN GROSS - Physician Assistant License in Illinois | # 085004401

KATIE LYNN GROSS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004401

License Status

NOT RENEWED

Business

N

First Name

KATIE

Middle

LYNN

Last Name

GROSS

Business Name

KATIE LYNN GROSS

Original Issue Date

08/09/2012

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020