MARY ELIZABETH GARRISON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007810

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

GARRISON

Business Name

MARY ELIZABETH GARRISON

Original Issue Date

07/02/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025