CHARLES H TILLMAN JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067311

License Status

INACTIVE

Business

First Name

CHARLES H

Last Name

TILLMAN JR

Suffix

Business Name

CHARLES H TILLMAN JR MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1987

City

MEXICO

State

Zip

65265

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006