SEAN P TIERNEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

SEAN P

Last Name

TIERNEY

Business Name

SEAN P TIERNEY

Original Issue Date

05/25/2004

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023