JOHN EARL TILLIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

CANCELLED

Business

First Name

JOHN EARL

Last Name

TILLIS

Suffix

Business Name

JOHN EARL TILLIS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006