TIFFANY ALANA STODDARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

TIFFANY

Middle

ALANA

Last Name

STODDARD

Business Name

TIFFANY ALANA STODDARD MD

Original Issue Date

11/16/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023