JENNIFER L GRACE - Physician Assistant License in Indiana | # 085004276

JENNIFER L GRACE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004276

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

GRACE

Business Name

JENNIFER L GRACE

Original Issue Date

02/02/2012

Effective Date

02/02/2012

Expiration Date

03/01/2014

State

IN

Ever Disciplined

N

LastModifiedDate

04/08/2014