TIFFANY A LONGO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

LONGO

Business Name

TIFFANY A LONGO

Original Issue Date

10/30/2003

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026