GRACELYN ANN BOYLES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011217

License Status

ACTIVE

Business

First Name

GRACELYN

Middle

ANN

Last Name

BOYLES

Business Name

GRACELYN ANN BOYLES

Original Issue Date

03/21/2025

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

12/03/2025