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TILLER, GEORGE RICHARD
Practice Address: 5101 E. KELLOGG
WICHITA KS 67218
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17246
Dated: 5/19/1990
Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Family Medicine
Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 6 / 1967
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/19/1990 Probation
Board Filings and/or Orders:
05/19/1990
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5101 E. KELLOGG
WICHITA KS 67218

Phone #:
Fax #:

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