TANYA R GREEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002921

License Status

ACTIVE

Business

First Name

TANYA

Middle

Last Name

GREEN

Business Name

TANYA R GREEN

Original Issue Date

12/18/2006

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

MIAMI

State

Zip

33170

Ever Disciplined

LastModifiedDate

02/23/2026