TYLER R MCKINNISH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000852

License Status

EXPIRED

Business

Title

First Name

TYLER

Middle

Last Name

MCKINNISH

Business Name

TYLER R MCKINNISH MD

Original Issue Date

01/17/2022

Effective Date

01/17/2022

Expiration Date

07/16/2022

City

GRANITE CITY

State

Zip

62040

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022