TIFFANI A BOTTS - Physician Assistant License in Illinois | # 085005564

TIFFANI A BOTTS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005564

License Status

NOT RENEWED

Business

N

First Name

TIFFANI

Middle

A

Last Name

BOTTS

Business Name

TIFFANI A BOTTS

Original Issue Date

07/17/2015

Effective Date

02/05/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018