TARA TOMY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006748

License Status

INACTIVE

Business

First Name

TARA

Last Name

TOMY

Business Name

TARA TOMY

Original Issue Date

09/14/2018

Effective Date

09/14/2018

Expiration Date

03/01/2020

City

TEMPLE TERRACE

State

Zip

33617

Ever Disciplined

LastModifiedDate

12/18/2019