TANIKA VALEA MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008790

License Status

NOT RENEWED

Business

First Name

TANIKA

Middle

VALEA

Last Name

MARTIN

Business Name

TANIKA VALEA MARTIN

Original Issue Date

12/29/2021

Effective Date

12/29/2021

Expiration Date

03/01/2024

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

02/05/2025