SARAH TIERNEY MANNING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006078

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

TIERNEY

Last Name

MANNING

Business Name

SARAH TIERNEY MANNING

Original Issue Date

11/10/2016

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025