TIFFANY CAMIL WILSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

TIFFANY

Middle

CAMIL

Last Name

WILSON

Business Name

TIFFANY CAMIL WILSON MD

Original Issue Date

06/11/2012

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023