TANNER CRAIG EIBEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161552

License Status

ACTIVE

Business

Title

First Name

TANNER

Middle

CRAIG

Last Name

EIBEN

Business Name

TANNER CRAIG EIBEN DO

Original Issue Date

07/20/2022

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

04/14/2023