WAYNE R TILSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075017

License Status

NOT RENEWED

Business

First Name

WAYNE R

Last Name

TILSON

Suffix

Business Name

WAYNE R TILSON MD

Original Issue Date

05/15/1987

Effective Date

05/15/1987

Expiration Date

07/31/1993

City

LAWRENCE

State

Zip

66046

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006