BETH TARA WINKLEY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

INOPERATIVE

Business

First Name

BETH

Middle

TARA

Last Name

WINKLEY

Business Name

BETH TARA WINKLEY

Original Issue Date

07/31/2014

Effective Date

07/31/2014

Expiration Date

03/01/2016

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/21/2016