TIFFANY RENEE MCKIRNAN - Physician Assistant License in Indiana | # 085003049

TIFFANY RENEE MCKIRNAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003049

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

RENEE

Last Name

MCKIRNAN

Business Name

TIFFANY RENEE MCKIRNAN

Original Issue Date

09/18/2007

Effective Date

01/10/2012

Expiration Date

03/01/2014

State

IN

Ever Disciplined

N

LastModifiedDate

04/08/2014