MARY ELIZABETH GARRISON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

GARRISON

Business Name

MARY ELIZABETH GARRISON

Original Issue Date

09/25/2020

Effective Date

01/22/2022

Expiration Date

03/01/2024

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

02/05/2025