DAVID ALAN TILLEMA MD - Medical Doctor License in Kansas | # 036038527

DAVID ALAN TILLEMA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038527

License Status

NOT RENEWED

Business

N

First Name

DAVID ALAN

Last Name

TILLEMA

Suffix

MD

Business Name

DAVID ALAN TILLEMA MD

Original Issue Date

08/02/1963

Effective Date

08/02/1963

State

KS

Ever Disciplined

N

LastModifiedDate

09/20/2006