LEWIS WILLIAM TANNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027607

License Status

INACTIVE

Business

First Name

LEWIS WILLIAM

Last Name

TANNER

Suffix

Business Name

LEWIS WILLIAM TANNER MD

Original Issue Date

12/17/1946

Effective Date

12/17/1946

Expiration Date

07/31/1996

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

09/20/2006