SHIVANA TATE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011102

License Status

ACTIVE

Business

First Name

SHIVANA

Last Name

TATE

Business Name

SHIVANA TATE

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

03/01/2026

City

SAN ANTONIO

State

Zip

78230

Ever Disciplined

LastModifiedDate

12/03/2025