JOHNNY C TENEGRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138605

License Status

ACTIVE

Business

Title

First Name

JOHNNY

Middle

Last Name

TENEGRA

Business Name

JOHNNY C TENEGRA MD

Original Issue Date

07/08/2015

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/12/2023