DAVID ALAN TILLEMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038527

License Status

NOT RENEWED

Business

First Name

DAVID ALAN

Last Name

TILLEMA

Suffix

Business Name

DAVID ALAN TILLEMA MD

Original Issue Date

08/02/1963

Effective Date

08/02/1963

City

OVERLAND PARK

State

Zip

66212

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006