TIFFANY RENEE MCKIRNAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

INOPERATIVE

Business

First Name

TIFFANY

Middle

RENEE

Last Name

MCKIRNAN

Business Name

TIFFANY RENEE MCKIRNAN

Original Issue Date

10/19/2007

Effective Date

01/10/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2013