TYLER THAI DINH LE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

TYLER

Middle

THAI DINH

Last Name

Business Name

TYLER THAI DINH LE

Original Issue Date

04/28/2025

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026