TIFFANY ANN ROBAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075065

License Status

EXPIRED

Business

Title

First Name

TIFFANY

Middle

ANN

Last Name

ROBAK

Business Name

TIFFANY ANN ROBAK DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022