TYLER DANIEL CARLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007927

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

DANIEL

Last Name

CARLE

Business Name

TYLER DANIEL CARLE

Original Issue Date

09/03/2020

Effective Date

01/15/2022

Expiration Date

03/01/2024

City

SOUTH MILWAUKEE

State

Zip

53172

Ever Disciplined

LastModifiedDate

02/05/2025