JOHN P TANNER DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

TANNER

Suffix

DDS MD

Business Name

JOHN P TANNER DDS MD

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

09/30/1990

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005