TYLER ELIZABETH DICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005936

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

ELIZABETH

Last Name

DICK

Business Name

TYLER ELIZABETH DICK

Original Issue Date

08/17/2016

Effective Date

01/25/2018

Expiration Date

03/01/2020

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

11/24/2020