TIFFANI LEIGH MCDONOUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

TIFFANI

Middle

LEIGH

Last Name

MCDONOUGH

Business Name

TIFFANI LEIGH MCDONOUGH MD

Original Issue Date

07/26/2018

Effective Date

08/04/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60616

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023