TAMMY KAY MUNCH Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002873

License Status

INACTIVE

Business

First Name

TAMMY

Middle

KAY

Last Name

MUNCH

Business Name

TAMMY KAY MUNCH

Original Issue Date

10/27/2006

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/02/2018