DESTINY GRACE PETROWICH - Physician Assistant License in Illinois | # 085007902

DESTINY GRACE PETROWICH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007902

License Status

ACTIVE

Business

N

First Name

DESTINY

Middle

GRACE

Last Name

PETROWICH

Business Name

DESTINY GRACE PETROWICH

Original Issue Date

08/29/2020

Effective Date

02/26/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2026