TIFFANY VARCHETTO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

TIFFANY

Last Name

VARCHETTO

Business Name

TIFFANY VARCHETTO

Original Issue Date

08/28/2008

Effective Date

09/08/2014

Expiration Date

03/01/2016

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

02/25/2016