KIMBERLY ANN GRANT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003958

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

GRANT

Business Name

KIMBERLY ANN GRANT

Original Issue Date

11/19/2010

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

01/02/2026