MICAH RYAN TIEGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004941

License Status

ACTIVE

Business

First Name

MICAH

Middle

RYAN

Last Name

TIEGS

Business Name

MICAH RYAN TIEGS

Original Issue Date

10/30/2013

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/28/2026