LUIS E GARCIA TILLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

LUIS

Middle

Last Name

GARCIA TILLAN

Business Name

LUIS E GARCIA TILLAN MD

Original Issue Date

11/02/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023