TRACY ANN TAYFEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

INOPERATIVE

Business

First Name

TRACY

Middle

ANN

Last Name

TAYFEL

Business Name

TRACY ANN TAYFEL

Original Issue Date

08/18/2011

Effective Date

02/21/2024

Expiration Date

03/01/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025