TIMOTHY D BILASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

TIMOTHY D

Last Name

BILASH

Suffix

Business Name

TIMOTHY D BILASH MD

Original Issue Date

08/15/1996

Effective Date

10/21/2014

Expiration Date

07/31/2017

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020