CHARLES J TANNENBAUM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

CHARLES J

Last Name

TANNENBAUM

Suffix

DDS

Business Name

CHARLES J TANNENBAUM DDS

Original Issue Date

01/01/1998

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024