TYSON RAND KINNICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005762

License Status

ACTIVE

Business

First Name

TYSON

Middle

RAND

Last Name

KINNICK

Business Name

TYSON RAND KINNICK

Original Issue Date

01/21/2016

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

DUNLAP

State

Zip

61525

County

KNOX

Ever Disciplined

LastModifiedDate

02/17/2026