JOSHUA B TENNENBAUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000299

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

Last Name

TENNENBAUM

Business Name

JOSHUA B TENNENBAUM

Original Issue Date

10/18/2007

Effective Date

10/18/2007

Expiration Date

04/17/2008

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/18/2008