ANDREW TANNENBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147111

License Status

ACTIVE

Business

Title

First Name

ANDREW

Last Name

TANNENBAUM

Business Name

ANDREW TANNENBAUM MD

Original Issue Date

08/03/2018

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026