DAWN CLARISSE TANNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002863

License Status

ACTIVE

Business

First Name

DAWN

Middle

CLARISSE

Last Name

TANNER

Business Name

DAWN CLARISSE TANNER

Original Issue Date

10/23/2006

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/24/2026