EMILY ARLENE GRACE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005942

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

ARLENE

Last Name

GRACE

Business Name

EMILY ARLENE GRACE

Original Issue Date

08/23/2016

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025