TIFFANY GAE EDWARDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081717

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

GAE

Last Name

EDWARDS

Business Name

TIFFANY GAE EDWARDS MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2025