LAURIE A TIBBS - Physician Assistant License in Illinois | # 085001124

LAURIE A TIBBS

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001124

License Status

INACTIVE

Business

N

First Name

LAURIE

Middle

A

Last Name

TIBBS

Business Name

LAURIE A TIBBS

Original Issue Date

01/11/1999

Effective Date

01/11/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2023