GARY SCOTT TENNYSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127513

License Status

INACTIVE

Business

First Name

GARY

Middle

SCOTT

Last Name

TENNYSON

Suffix

Business Name

GARY SCOTT TENNYSON MD

Original Issue Date

04/11/2011

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

SEYMOUR

State

Zip

06483

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

05/26/2020