BRIAN JOHN TIENOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

JOHN

Last Name

TIENOR

Business Name

BRIAN JOHN TIENOR MD

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

07/31/2014

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014