TERRI L GROEZINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

TERRI L

Last Name

GROEZINGER

Business Name

TERRI L GROEZINGER

Original Issue Date

08/03/2015

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

WARREN

State

Zip

61087

County

JO DAVIESS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022