CLINT STEVEN TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147164

License Status

NOT RENEWED

Business

Title

First Name

CLINT

Middle

STEVEN

Last Name

TANNER

Business Name

CLINT STEVEN TANNER MD

Original Issue Date

08/09/2018

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

CENTENNIAL

State

Zip

80015

Ever Disciplined

LastModifiedDate

11/30/2023