MICHAEL F TIFFANY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123478

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

TIFFANY

Business Name

MICHAEL F TIFFANY DO

Original Issue Date

05/19/2009

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

RIVER FALLS

State

Zip

54022

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014