TONYA LYNETTE GOLLAHALLI - Physician Assistant License in Illinois | # 085009747

TONYA LYNETTE GOLLAHALLI

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009747

License Status

ACTIVE

Business

N

First Name

TONYA

Middle

LYNETTE

Last Name

GOLLAHALLI

Business Name

TONYA LYNETTE GOLLAHALLI

Original Issue Date

06/30/2023

Effective Date

03/13/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025