TANNER ALEXANDER ISRAEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009248

License Status

ACTIVE

Business

First Name

TANNER

Middle

ALEXANDER

Last Name

ISRAEL

Business Name

TANNER ALEXANDER ISRAEL

Original Issue Date

09/15/2022

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/03/2025