LAURIE A TIBBS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001124

License Status

INACTIVE

Business

First Name

LAURIE

Middle

Last Name

TIBBS

Business Name

LAURIE A TIBBS

Original Issue Date

01/11/1999

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

12/06/2023