TISHA L SPENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147774

License Status

NOT RENEWED

Business

Title

First Name

TISHA

Middle

Last Name

SPENCE

Business Name

TISHA L SPENCE MD

Original Issue Date

11/30/2018

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

11/30/2023