TIFFANNY MARY CONNOLLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003578

License Status

ACTIVE

Business

First Name

TIFFANNY

Middle

MARY

Last Name

CONNOLLY

Business Name

TIFFANNY MARY CONNOLLY

Original Issue Date

09/14/2009

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/06/2026