TIFFANY MARIE SHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070732

License Status

EXPIRED

Business

Title

First Name

TIFFANY

Middle

MARIE

Last Name

SHAM

Business Name

TIFFANY MARIE SHAM DO

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020