TAKIJAH TIFFANY HEARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051073

License Status

CANCELLED

Business

First Name

TAKIJAH

Middle

TIFFANY

Last Name

HEARD

Suffix

Business Name

TAKIJAH TIFFANY HEARD MD

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

06/28/2009

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006