TAMARA ANN PRIDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001795

License Status

ACTIVE

Business

First Name

TAMARA

Middle

ANN

Last Name

PRIDE

Business Name

TAMARA ANN PRIDE

Original Issue Date

05/17/2002

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/04/2025