KATHRYN TINSLEY ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

KATHRYN

Middle

TINSLEY

Last Name

ANDERSON

Business Name

KATHRYN TINSLEY ANDERSON MD

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2024