JEFFREY S TENNANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044835

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

TENNANT

Suffix

Business Name

JEFFREY S TENNANT MD

Original Issue Date

09/16/1971

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021