AARON MATTHEW TANNENBAUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063183

License Status

CANCELLED

Business

First Name

AARON

Middle

MATTHEW

Last Name

TANNENBAUM

Suffix

Business Name

AARON MATTHEW TANNENBAUM MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014