TIFFANY SOPHIA OVERSTREET DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058140

License Status

EXPIRED

Business

Title

First Name

TIFFANY

Middle

SOPHIA

Last Name

OVERSTREET

Business Name

TIFFANY SOPHIA OVERSTREET DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/04/2015