TAMI JADVIGA DZIEDZIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002416

License Status

ACTIVE

Business

First Name

TAMI

Middle

JADVIGA

Last Name

DZIEDZIC

Business Name

TAMI JADVIGA DZIEDZIC

Original Issue Date

11/18/2004

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/26/2026