DEBORAH L GRENQUIST Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000318

License Status

NOT RENEWED

Business

First Name

DEBORAH L

Last Name

GRENQUIST

Business Name

DEBORAH L GRENQUIST

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

03/01/1990

City

MARSHALL

State

Zip

49068

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/26/2006