JULIA BERNICE GREY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005611

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

BERNICE

Last Name

GREY

Business Name

JULIA BERNICE GREY

Original Issue Date

08/31/2015

Effective Date

03/03/2016

Expiration Date

03/01/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018