DUSTIN G TAVENNER DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011196

License Status

NOT RENEWED

Business

Title

First Name

DUSTIN

Middle

Last Name

TAVENNER

Business Name

DUSTIN G TAVENNER DC

Original Issue Date

06/19/2008

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021