BRENDAN TYLER DINGA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

BRENDAN

Middle

TYLER

Last Name

DINGA

Business Name

BRENDAN TYLER DINGA

Original Issue Date

10/14/2025

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026