GRACE ANNE GOLAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005714

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ANNE

Last Name

GOLAN

Business Name

GRACE ANNE GOLAN

Original Issue Date

10/20/2015

Effective Date

01/23/2020

Expiration Date

03/01/2022

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022