HEATHER FAITH TYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

FAITH

Last Name

TYER

Business Name

HEATHER FAITH TYER

Original Issue Date

08/02/2013

Effective Date

03/13/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016