TAMMY KAY MUNCH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

INOPERATIVE

Business

First Name

TAMMY

Middle

KAY

Last Name

MUNCH

Business Name

TAMMY KAY MUNCH

Original Issue Date

07/23/2007

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2018