ALLISON TANIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010082

License Status

NOT RENEWED

Business

First Name

ALLISON

Last Name

TANIS

Business Name

ALLISON TANIS

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

03/01/2024

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

02/05/2025