ALEXANDRA MAI TAMAYO MIN-TUN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

ALEXANDRA MAI

Middle

TAMAYO

Last Name

MIN-TUN

Business Name

ALEXANDRA MAI TAMAYO MIN-TUN

Original Issue Date

01/29/2020

Effective Date

01/29/2020

Expiration Date

03/01/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/03/2022