PAIGE DELANEY TIEMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007158

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

DELANEY

Last Name

TIEMAN

Business Name

PAIGE DELANEY TIEMAN

Original Issue Date

08/10/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022