DAVID EDWARD TENNANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144079

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

EDWARD

Last Name

TENNANT

Business Name

DAVID EDWARD TENNANT MD

Original Issue Date

08/11/2017

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Ever Disciplined

LastModifiedDate

04/09/2023