GLENN F GARAFOLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000141

License Status

ACTIVE

Business

First Name

GLENN

Middle

Last Name

GARAFOLO

Business Name

GLENN F GARAFOLO

Original Issue Date

02/01/1981

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

WHEATON

State

Zip

60187

Ever Disciplined

LastModifiedDate

12/05/2025