GRACELYN ANN BOYLES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

ACTIVE

Business

First Name

GRACELYN

Middle

ANN

Last Name

BOYLES

Business Name

GRACELYN ANN BOYLES

Original Issue Date

07/10/2025

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025