TIFFANI LYNNE WILLIAMS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

TIFFANI

Middle

LYNNE

Last Name

WILLIAMS

Business Name

TIFFANI LYNNE WILLIAMS

Original Issue Date

03/03/2010

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

POLO

State

Zip

61064

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026