GRISELDA HERNANDEZ RAHMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002784

License Status

NOT RENEWED

Business

First Name

GRISELDA

Middle

HERNANDEZ

Last Name

RAHMAN

Business Name

GRISELDA HERNANDEZ RAHMAN

Original Issue Date

08/18/2006

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025