TIFFANY MARIE CONNOLLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010364

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

MARIE

Last Name

CONNOLLY

Business Name

TIFFANY MARIE CONNOLLY

Original Issue Date

02/11/2024

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

ERIE

State

Zip

61250

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/20/2026