TINCY MARY OOMMEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INOPERATIVE

Business

First Name

TINCY

Middle

MARY

Last Name

OOMMEN

Business Name

TINCY MARY OOMMEN

Original Issue Date

02/20/2020

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022