GRACE ANNE GOLAN - Physician Assistant License in Illinois | # 085005714

GRACE ANNE GOLAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005714

License Status

NOT RENEWED

Business

N

First Name

GRACE

Middle

ANNE

Last Name

GOLAN

Business Name

GRACE ANNE GOLAN

Original Issue Date

10/20/2015

Effective Date

01/23/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022