TANVI SRINIVASAN TIRUMALA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011924

License Status

ACTIVE

Business

First Name

TANVI

Middle

SRINIVASAN

Last Name

TIRUMALA

Business Name

TANVI SRINIVASAN TIRUMALA

Original Issue Date

11/20/2025

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/28/2026