TIFFANY ALLYSON ANTHONY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080438

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

ALLYSON

Last Name

ANTHONY

Business Name

TIFFANY ALLYSON ANTHONY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2025