TARA RAZMA STAFFORD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009571

License Status

ACTIVE

Business

First Name

TARA

Middle

RAZMA

Last Name

STAFFORD

Business Name

TARA RAZMA STAFFORD

Original Issue Date

03/16/2023

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/19/2026