SETH R TANENBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

INACTIVE

Business

First Name

SETH R

Last Name

TANENBAUM

Suffix

Business Name

SETH R TANENBAUM MD

Original Issue Date

07/22/1985

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60061

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/28/2024