BRUCE ALAN DEGROTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002614

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

ALAN

Last Name

DEGROTE

Business Name

BRUCE ALAN DEGROTE

Original Issue Date

10/06/2005

Effective Date

10/06/2005

Expiration Date

03/01/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2009