TAMRA J BRISBIN

Business Entity
ACTIVE

Physician Assistant

LICENSED PHYSICIAN ASSISTANT

085000647

ACTIVE

N

TAMRA

J

BRISBIN

TAMRA J BRISBIN

12/19/1994

02/26/2026

03/01/2028

HENRY

IL

61537

MARSHALL

Y

02/26/2026

2005001453

Probation

07/14/2006

03/26/2010