TIFFANI CLARK DILLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

TIFFANI

Middle

CLARK

Last Name

DILLARD

Suffix

Business Name

TIFFANI CLARK DILLARD MD

Original Issue Date

05/09/2000

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023