TAMMY G BECK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000967

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

BECK

Business Name

TAMMY G BECK

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

03/01/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006