ELIZABETH RENEE TENTLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057566

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

RENEE

Last Name

TENTLER

Business Name

ELIZABETH RENEE TENTLER DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/05/2010