TANYA K GUNTLY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004252

License Status

INACTIVE

Business

First Name

TANYA

Middle

Last Name

GUNTLY

Business Name

TANYA K GUNTLY

Original Issue Date

11/28/2011

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

MONROE

State

Zip

53566

Ever Disciplined

LastModifiedDate

03/24/2016