JAMES CHRISTOPHER TANNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067658

License Status

EXPIRED

Business

Title

First Name

JAMES

Middle

CHRISTOPHER

Last Name

TANNER

Business Name

JAMES CHRISTOPHER TANNER MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

09/26/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/26/2019