License holder summary

SHANNON LIZ TILLY is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SHANNON LIZ TILLY is SALT LAKE CITY, UT 84109. This licensed professional license is current. The license was granted 10/10/2003 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SHANNON LIZ TILLY
Physician - Physician & Surgeon
License number
5412500-1205
Date granted
10/10/2003
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84109
utahlicensing.org
ID 29934619
LAST UPDATED 2024-05-11 21:34:13 UTC

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