WILLIAM P TILLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

WILLIAM P

Last Name

TILLIS

Suffix

Business Name

WILLIAM P TILLIS MD

Original Issue Date

04/20/1993

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

LEXINGTON

State

Zip

29072

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023