MICHAEL L TENNANT OD - Optometrist License in Illinois | # 047931096

MICHAEL L TENNANT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931096

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

04/19/2005

Effective Date

04/19/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006