JOHNNY C TENEGRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060769

License Status

CANCELLED

Business

Title

First Name

JOHNNY

Middle

Last Name

TENEGRA

Business Name

JOHNNY C TENEGRA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014