ALLISON P GOAD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008634

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

GOAD

Business Name

ALLISON P GOAD

Original Issue Date

09/29/2021

Effective Date

09/29/2021

Expiration Date

03/01/2022

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022