GRACE TERRY - Physician Assistant License in Illinois | # 085000167

GRACE TERRY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000167

License Status

NOT RENEWED

Business

N

First Name

GRACE

Last Name

TERRY

Business Name

GRACE TERRY

Original Issue Date

04/14/1981

Effective Date

04/14/1981

Expiration Date

04/14/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006