TANGENIA THOMAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

TANGENIA

Last Name

THOMAS

Business Name

TANGENIA THOMAS

Original Issue Date

02/09/2024

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2026