CHRISTOPHER MATTHEW TANNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065327

License Status

CANCELLED

Business

Title

First Name

CHRISTOPHER

Middle

MATTHEW

Last Name

TANNER

Business Name

CHRISTOPHER MATTHEW TANNER MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

OAK BROOK

State

Zip

60523

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/08/2014