ALYCE L GARRITY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000350

License Status

NOT RENEWED

Business

First Name

ALYCE L

Last Name

GARRITY

Business Name

ALYCE L GARRITY

Original Issue Date

03/19/1988

Effective Date

03/19/1988

Expiration Date

03/01/1992

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/27/2017