TIFFANIE SI-WAI YAU Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

INOPERATIVE

Business

First Name

TIFFANIE

Middle

SI-WAI

Last Name

YAU

Business Name

TIFFANIE SI-WAI YAU

Original Issue Date

09/16/2011

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019