TIFFANY M MCDERMOTT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

TIFFANY M

Last Name

MCDERMOTT

Business Name

TIFFANY M MCDERMOTT

Original Issue Date

05/22/1997

Effective Date

05/22/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006