THERESA MAE TILTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099498

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

MAE

Last Name

TILTON

Suffix

Business Name

THERESA MAE TILTON MD

Original Issue Date

01/13/1999

Effective Date

02/17/2021

Expiration Date

07/31/2023

City

LEXINGTON

State

Zip

40502

County

FAYETTE

Ever Disciplined

LastModifiedDate

11/30/2023