ALAINA ADAIR TATUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008473

License Status

NOT RENEWED

Business

First Name

ALAINA

Middle

ADAIR

Last Name

TATUM

Business Name

ALAINA ADAIR TATUM

Original Issue Date

07/19/2021

Effective Date

07/19/2021

Expiration Date

03/01/2022

City

BUNKER HILL

State

Zip

25413

Ever Disciplined

LastModifiedDate

07/27/2022