TARRAH O'DONNELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

TARRAH

Last Name

O'DONNELL

Business Name

TARRAH O'DONNELL

Original Issue Date

11/14/2019

Effective Date

03/01/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025