RICHARD C TANNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055278

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

TANNEN

Suffix

Business Name

RICHARD C TANNEN MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1987

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/04/2009