TIFFANY M MCDERMOTT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091392

License Status

NOT RENEWED

Business

First Name

TIFFANY M

Last Name

MCDERMOTT

Business Name

TIFFANY M MCDERMOTT

Original Issue Date

07/25/1995

Effective Date

07/25/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006