TIMOTHY EUGENE TULLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053041

License Status

NOT RENEWED

Business

First Name

TIMOTHY EUGENE

Last Name

TULLY

Suffix

Business Name

TIMOTHY EUGENE TULLY MD

Original Issue Date

07/15/1976

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CABLE

State

Zip

54821

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017