KAITLYN D MCGRAIL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

INOPERATIVE

Business

First Name

KAITLYN

Middle

Last Name

MCGRAIL

Business Name

KAITLYN D MCGRAIL

Original Issue Date

12/14/2018

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2022