TARAH ELISSA CRANICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003209

License Status

ACTIVE

Business

First Name

TARAH

Middle

ELISSA

Last Name

CRANICK

Business Name

TARAH ELISSA CRANICK

Original Issue Date

04/17/2008

Effective Date

12/28/2025

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/28/2025