TIFFANY MARYOUNG ROGERS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

MARYOUNG

Last Name

ROGERS

Business Name

TIFFANY MARYOUNG ROGERS

Original Issue Date

10/21/2010

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023