DANIEL GRAHAM TEASDALE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010431

License Status

ACTIVE

Business

First Name

DANIEL

Middle

GRAHAM

Last Name

TEASDALE

Business Name

DANIEL GRAHAM TEASDALE

Original Issue Date

04/03/2024

Effective Date

04/03/2024

Expiration Date

03/01/2026

City

LOUISVILLE

State

Zip

80027

Ever Disciplined

LastModifiedDate

12/03/2025