TYLER ELIZABETH DICK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

INOPERATIVE

Business

First Name

TYLER

Middle

ELIZABETH

Last Name

DICK

Business Name

TYLER ELIZABETH DICK

Original Issue Date

08/17/2016

Effective Date

01/25/2018

Expiration Date

03/01/2020

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

12/18/2019