JILLIAN GRACE BIANCHI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004709

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

GRACE

Last Name

BIANCHI

Business Name

JILLIAN GRACE BIANCHI

Original Issue Date

07/10/2013

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

PORTLAND

State

Zip

97214

Ever Disciplined

LastModifiedDate

07/27/2022