TAYLOR S REID TENNILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064859

License Status

EXPIRED

Business

Title

First Name

TAYLOR

Middle

Last Name

REID TENNILL

Business Name

TAYLOR S REID TENNILL MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015