TIFFANY RENEE MCKIRNAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003049

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

RENEE

Last Name

MCKIRNAN

Business Name

TIFFANY RENEE MCKIRNAN

Original Issue Date

09/18/2007

Effective Date

01/10/2012

Expiration Date

03/01/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014