TIFFANY SAMMT NELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070029

License Status

EXPIRED

Business

Title

First Name

TIFFANY

Middle

SAMMT

Last Name

NELSON

Business Name

TIFFANY SAMMT NELSON MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatopathology

Ever Disciplined

LastModifiedDate

10/25/2018