TONYA LYNETTE GOLLAHALLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009747

License Status

ACTIVE

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025