TANYA S DANNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110611

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

Last Name

DANNER

Business Name

TANYA S DANNER

Original Issue Date

12/19/2003

Effective Date

12/19/2003

Expiration Date

07/31/2005

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006