TIFFANY KATIE LEUNG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

KATIE

Last Name

LEUNG

Business Name

TIFFANY KATIE LEUNG

Original Issue Date

07/20/2009

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

SCHILLER PARK

State

Zip

60176

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024