TAMARA G COLLARD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

ACTIVE

Business

First Name

TAMARA

Middle

Last Name

COLLARD

Business Name

TAMARA G COLLARD

Original Issue Date

02/22/2001

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

MURPHYSBORO

State

Zip

62966

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026