MICHAEL L TENNANT OD - Optometrist License in Illinois | # 047925689

MICHAEL L TENNANT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925689

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

05/26/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005