ANDREA GAIL TENNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050033

License Status

EXPIRED

Business

First Name

ANDREA

Middle

GAIL

Last Name

TENNER

Suffix

Business Name

ANDREA GAIL TENNER MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

03/09/2012