ANDREW S TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077027

License Status

NOT RENEWED

Business

First Name

ANDREW S

Last Name

TANNER

Suffix

Business Name

ANDREW S TANNER MD

Original Issue Date

05/24/1988

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

COLORADO SPRINGS

State

Zip

80906

County

COLORADO

Ever Disciplined

LastModifiedDate

11/01/2017