CHARLES H TILLMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

CHARLES H

Last Name

TILLMAN JR

Suffix

Business Name

CHARLES H TILLMAN JR MD

Original Issue Date

08/29/1983

Effective Date

08/29/1983

Expiration Date

07/31/1987

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006