TATUM JOANNA BOHLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005184

License Status

NOT RENEWED

Business

First Name

TATUM

Middle

JOANNA

Last Name

BOHLS

Business Name

TATUM JOANNA BOHLS

Original Issue Date

08/28/2014

Effective Date

03/08/2022

Expiration Date

03/01/2024

City

ROUND ROCK

State

Zip

78665

Ever Disciplined

LastModifiedDate

02/05/2025