CONNOR MICHAEL TIERNEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074494

License Status

CANCELLED

Business

Title

First Name

CONNOR

Middle

MICHAEL

Last Name

TIERNEY

Business Name

CONNOR MICHAEL TIERNEY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

02/14/2022