SEAN P TIERNEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

SEAN P

Last Name

TIERNEY

Business Name

SEAN P TIERNEY

Original Issue Date

11/01/2006

Effective Date

07/09/2020

Expiration Date

07/31/2023

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023