TIFFANY E O'HERN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

INOPERATIVE

Business

First Name

TIFFANY

Middle

Last Name

O'HERN

Business Name

TIFFANY E O'HERN

Original Issue Date

08/12/2013

Effective Date

02/05/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2016