LANA TYMOUCH

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****67

ACTIVE

N

LANA

TYMOUCH

LANA TYMOUCH

12/19/2002

01/29/2026

03/01/2028

CHICAGO

IL

60612

COOK

II III IV V

N

01/29/2026