GARY ADAM TENNISON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099492

License Status

ACTIVE

Business

First Name

GARY

Middle

ADAM

Last Name

TENNISON

Suffix

Business Name

GARY ADAM TENNISON DO

Original Issue Date

01/12/1999

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/07/2023