ANDREW HENRY TILDEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

ANDREW HENRY

Last Name

TILDEN

Business Name

ANDREW HENRY TILDEN

Original Issue Date

01/07/2011

Effective Date

01/07/2011

Expiration Date

07/31/2011

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020