ALISHA RONETTE TILLMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085011

License Status

ACTIVE

Business

Title

First Name

ALISHA

Middle

RONETTE

Last Name

TILLMAN

Business Name

ALISHA RONETTE TILLMAN DO

Original Issue Date

07/05/2024

Effective Date

07/05/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/20/2024