TIFFANI J CHANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

TIFFANI

Middle

Last Name

CHANG

Business Name

TIFFANI J CHANG

Original Issue Date

10/20/2021

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60623

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025