TIFFANY CHEN MD - Medical Doctor License in Illinois | # 125074629

TIFFANY CHEN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074629

License Status

EXPIRED

Business

N

Title

MD

First Name

TIFFANY

Last Name

CHEN

Business Name

TIFFANY CHEN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

11/19/2020