PATRICIA J TIERNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

TIERNAN

Suffix

Business Name

PATRICIA J TIERNAN MD

Original Issue Date

08/31/1989

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014