TARA E DEGNAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007958

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

DEGNAN

Business Name

TARA E DEGNAN

Original Issue Date

09/21/2020

Effective Date

09/21/2020

Expiration Date

03/01/2022

City

PITTSBURGH

State

Zip

15241

Ever Disciplined

LastModifiedDate

07/27/2022