TAMMY J MORAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001786

License Status

INACTIVE

Business

First Name

TAMMY

Middle

Last Name

MORAN

Business Name

TAMMY J MORAN

Original Issue Date

03/15/2002

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/20/2022