DAWN CLARISSE TANNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

DAWN

Middle

CLARISSE

Last Name

TANNER

Business Name

DAWN CLARISSE TANNER

Original Issue Date

12/07/2006

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026