TIFFANY YAHTING WEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072904

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

YAHTING

Last Name

WEN

Business Name

TIFFANY YAHTING WEN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2018