TIFFANY NICOLE GRAYBILL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050861

License Status

CANCELLED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

GRAYBILL

Suffix

Business Name

TIFFANY NICOLE GRAYBILL DO

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006