CARLA KRYSTLE TAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009791

License Status

ACTIVE

Business

First Name

CARLA

Middle

KRYSTLE

Last Name

TAM

Business Name

CARLA KRYSTLE TAM

Original Issue Date

07/19/2023

Effective Date

09/19/2024

Expiration Date

03/01/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

12/03/2025