ANDREW HENRY TILDEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015100

License Status

EXPIRED

Business

First Name

ANDREW HENRY

Last Name

TILDEN

Business Name

ANDREW HENRY TILDEN

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

07/01/1984

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006