LINDSEY NICOLE GRADY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

LINDSEY

Middle

NICOLE

Last Name

GRADY

Business Name

LINDSEY NICOLE GRADY

Original Issue Date

10/06/2014

Effective Date

04/22/2020

Expiration Date

03/01/2022

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022