LEWIS TANENBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036023508

License Status

NOT RENEWED

Business

First Name

LEWIS

Last Name

TANENBAUM

Suffix

Business Name

LEWIS TANENBAUM MD

Original Issue Date

12/08/1939

Effective Date

12/08/1939

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006