GRACE PETR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010258

License Status

ACTIVE

Business

First Name

GRACE

Last Name

PETR

Business Name

GRACE PETR

Original Issue Date

01/17/2024

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2026