License holder summary

Mark E. Grandon is a Physician Assistant licensed to practice in Indiana. The address on file for Mark E. Grandon is Goshen KY 40026. This licensed professional license is not current. The license was granted 09/14/2005 and expired on 06/30/2008.

Indiana

Professional Licensing Agency

Mark E. Grandon
Physician Assistant
License number
10000780A
Date granted
09/14/2005
Date expires
06/30/2008
Class
Physician Assistant
Status
Expired
Address
Goshen KY 40026
indianalicensing.org
ID 8390072
LAST UPDATED 2026-04-23 09:02:40 UTC

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