TAMARA ANN PRIDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

TAMARA

Middle

ANN

Last Name

PRIDE

Business Name

TAMARA ANN PRIDE

Original Issue Date

10/09/2002

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025