AMY L TAMUL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

TAMUL

Business Name

AMY L TAMUL

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

03/01/2006

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006