STEPHANIE ELIZABETH GROSSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ELIZABETH

Last Name

GROSSO

Business Name

STEPHANIE ELIZABETH GROSSO

Original Issue Date

12/06/2010

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025