TAMRA J BRISBIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

TAMRA

Middle

Last Name

BRISBIN

Business Name

TAMRA J BRISBIN

Original Issue Date

03/09/2001

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2026

Case Number

2005001453

Action

Suspension

Discipline Start Date

07/14/2006

Discipline End Date

07/13/2007