TRACY LYNN THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

TRACY

Middle

LYNN

Last Name

THOMPSON

Business Name

TRACY LYNN THOMPSON

Original Issue Date

12/06/2024

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2026