ANN MARIE GRUBB Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007150

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MARIE

Last Name

GRUBB

Business Name

ANN MARIE GRUBB

Original Issue Date

08/05/2019

Effective Date

02/22/2022

Expiration Date

03/01/2024

City

WOLCOTTVILLE

State

Zip

46795

Ever Disciplined

LastModifiedDate

02/05/2025