JESSICA ERIN GROSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007953

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ERIN

Last Name

GROSS

Business Name

JESSICA ERIN GROSS

Original Issue Date

09/17/2020

Effective Date

09/17/2020

Expiration Date

03/01/2022

City

HUNTINGTON WOODS

State

Zip

48070

Ever Disciplined

LastModifiedDate

07/27/2022