ANDREW HENRY TILDEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ANDREW HENRY

Last Name

TILDEN

Business Name

ANDREW HENRY TILDEN

Original Issue Date

06/18/1985

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

66176

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023