License holder summary

Conny Tirtaman is a Medical - Medical Doctor licensed to practice in Alabama. The address on file for Conny Tirtaman is Walla Walla, Washington. This licensed professional license is not current. The license was granted 02/26/1997 and expired on 12/31/2002.

Alabama

Board of Licensing

Conny Tirtaman
Medical - Medical Doctor
License number
MD.20630
Date granted
02/26/1997
Date expires
12/31/2002
Class
Medical - Medical Doctor
Status
Inactive
Address
Walla Walla, Washington
alabamalicensing.org
ID 21381660
LAST UPDATED 2026-05-12 09:05:46 UTC

This website is unaffiliated with Alabama and its licensing agencies. Please verify all information directly with the relevant official government authority.

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