TAMMY G BECK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

BECK

Business Name

TAMMY G BECK

Original Issue Date

03/23/2001

Effective Date

03/23/2001

Expiration Date

03/01/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006