CAROLYN A TAMPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005539

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

TAMPE

Business Name

CAROLYN A TAMPE

Original Issue Date

07/10/2015

Effective Date

07/10/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016