DEBORAH A GRANT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000274

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

GRANT

Business Name

DEBORAH A GRANT

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

03/01/1986

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006