MICHAEL L TENNANT OD - Optometrist License in Illinois | # 047006914

MICHAEL L TENNANT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006914

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

L

Last Name

TENNANT

Suffix

OD

Business Name

MICHAEL L TENNANT OD

Original Issue Date

10/25/1979

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005