TIFFANI C STEWART Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

TIFFANI

Middle

Last Name

STEWART

Business Name

TIFFANI C STEWART

Original Issue Date

04/15/2011

Effective Date

12/29/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60620

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025