ROBERT J TIFFIN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

TIFFIN

Suffix

JR MD

Business Name

ROBERT J TIFFIN JR MD

Original Issue Date

10/02/1985

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023