GRACE COOK COPELAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010919

License Status

ACTIVE

Business

First Name

GRACE

Middle

COOK

Last Name

COPELAND

Business Name

GRACE COOK COPELAND

Original Issue Date

10/30/2024

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025