Indiana
Professional Licensing Agency
Tara Renee Thornburg
Physician Assistant
License number
10001542A
Date granted
06/25/2013
Date expires
06/30/2014
Class
Physician Assistant
Status
Expired
Address
Russellville IN 46175
indianalicensing.org
ID 8391626
LAST UPDATED 2026-05-03 09:48:17 UTC
LAST UPDATED 2026-05-03 09:48:17 UTC
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