C TYSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070618

License Status

ACTIVE

Business

First Name

Last Name

TYSON

Suffix

Business Name

C TYSON MD

Original Issue Date

05/23/1985

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

07/18/2023