TAMRA JOHANSEN STONE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001170

License Status

NOT RENEWED

Business

First Name

TAMRA

Last Name

JOHANSEN STONE

Suffix

PA-C

Business Name

TAMRA JOHANSEN STONE

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

03/01/2004

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006