LINDSEY NICOLE GRUENWALD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

INACTIVE

Business

First Name

LINDSEY

Middle

NICOLE

Last Name

GRUENWALD

Business Name

LINDSEY NICOLE GRUENWALD

Original Issue Date

12/30/2020

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

01/23/2025