TARAH ELISSA CRANICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

TARAH

Middle

ELISSA

Last Name

CRANICK

Business Name

TARAH ELISSA CRANICK

Original Issue Date

07/01/2008

Effective Date

12/28/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/28/2025