ELIZABETH A TANG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

INOPERATIVE

Business

First Name

ELIZABETH

Middle

Last Name

TANG

Business Name

ELIZABETH A TANG

Original Issue Date

01/02/2015

Effective Date

01/22/2022

Expiration Date

03/01/2024

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

12/06/2023