TRICIA M TAACA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

TRICIA

Middle

Last Name

TAACA

Business Name

TRICIA M TAACA

Original Issue Date

09/09/2020

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026