CHAUNCEY DENISE TARRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141006

License Status

NOT RENEWED

Business

Title

First Name

CHAUNCEY

Middle

DENISE

Last Name

TARRANT

Business Name

CHAUNCEY DENISE TARRANT MD

Original Issue Date

06/21/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

Ever Disciplined

LastModifiedDate

01/14/2021