DAVID R TANNER DC - Medical Doctor License in New Jersey | # 038004520

DAVID R TANNER DC

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004520

License Status

NOT RENEWED

Business

N

First Name

DAVID R

Last Name

TANNER

Suffix

DC

Business Name

DAVID R TANNER DC

Original Issue Date

01/17/1982

Effective Date

01/17/1982

Expiration Date

07/31/1990

State

NJ

Ever Disciplined

N

LastModifiedDate

09/21/2006