CHELSEA NICOLE LAGRANGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005666

License Status

NOT RENEWED

Business

First Name

CHELSEA

Middle

NICOLE

Last Name

LAGRANGE

Business Name

CHELSEA NICOLE LAGRANGE

Original Issue Date

09/23/2015

Effective Date

01/12/2022

Expiration Date

03/01/2024

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025