TIFFANY ALLYSON ANTHONY MD - Medical Doctor License in Illinois | # 125080438

TIFFANY ALLYSON ANTHONY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080438

License Status

CANCELLED

Business

N

Title

MD

First Name

TIFFANY

Middle

ALLYSON

Last Name

ANTHONY

Business Name

TIFFANY ALLYSON ANTHONY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/31/2025