AMBER TIFFANY RANDOLPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080109

License Status

CANCELLED

Business

Title

First Name

AMBER

Middle

TIFFANY

Last Name

RANDOLPH

Business Name

AMBER TIFFANY RANDOLPH MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

01/29/2026