TAYLOR S REID TENNILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

TAYLOR

Middle

Last Name

REID TENNILL

Business Name

TAYLOR S REID TENNILL MD

Original Issue Date

02/28/2018

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023