TIFFANI ANN ERICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174666

License Status

ACTIVE

Business

Title

First Name

TIFFANI

Middle

ANN

Last Name

ERICKSON

Business Name

TIFFANI ANN ERICKSON MD

Original Issue Date

04/15/2025

Effective Date

04/15/2025

Expiration Date

07/31/2026

City

SALT LAKE CITY

State

Zip

84109

Ever Disciplined

LastModifiedDate

04/15/2025