GRACE ROTHSTEIN IMMEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007827

License Status

ACTIVE

Business

First Name

GRACE

Middle

ROTHSTEIN

Last Name

IMMEL

Business Name

GRACE ROTHSTEIN IMMEL

Original Issue Date

07/09/2020

Effective Date

03/05/2024

Expiration Date

03/01/2026

City

MEQUON

State

Zip

53092

Ever Disciplined

LastModifiedDate

12/03/2025