TIFFANY A CUMMINS - Medical Doctor License in Illinois | # 125040388

TIFFANY A CUMMINS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040388

License Status

EXPIRED

Business

N

First Name

TIFFANY

Middle

A

Last Name

CUMMINS

Business Name

TIFFANY A CUMMINS

Original Issue Date

07/06/1999

Effective Date

07/06/1999

Expiration Date

07/05/2003

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006