TIFFANI CLARK DILLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102146

License Status

ACTIVE

Business

First Name

TIFFANI

Middle

CLARK

Last Name

DILLARD

Suffix

Business Name

TIFFANI CLARK DILLARD MD

Original Issue Date

03/16/2000

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2025