WAYNE ALAN TILLMAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

WAYNE

Middle

ALAN

Last Name

TILLMAN

Business Name

WAYNE ALAN TILLMAN

Original Issue Date

08/19/1999

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025