GRACE BASCOS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011345

License Status

ACTIVE

Business

First Name

GRACE

Last Name

BASCOS

Business Name

GRACE BASCOS

Original Issue Date

07/01/2025

Effective Date

01/10/2026

Expiration Date

03/01/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2026