TARA LAFORGE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008241

License Status

ACTIVE

Business

First Name

TARA

Last Name

LAFORGE

Business Name

TARA LAFORGE

Original Issue Date

03/19/2021

Effective Date

03/01/2024

Expiration Date

03/01/2026

City

SAN FRANCISCO

State

Zip

94104

Ever Disciplined

LastModifiedDate

12/03/2025