CAMERON GRACE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

CAMERON

Last Name

GRACE

Business Name

CAMERON GRACE

Original Issue Date

11/14/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/23/2026