PAUL ALBERT TENNANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159391

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

ALBERT

Last Name

TENNANT

Business Name

PAUL ALBERT TENNANT MD

Original Issue Date

02/07/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

07/27/2023