MICHAEL L TENNANT OD - Optometrist License in Illinois | # 047932213

MICHAEL L TENNANT OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932213

License Status

CANCELLED

Business

N

First Name

MICHAEL

Middle

L

Last Name

TENNANT

Suffix

OD

Business Name

MICHAEL L TENNANT OD

Original Issue Date

05/05/2006

Effective Date

05/05/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008