ELEANOR UMALI ATIENZA-TENNISON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

ELEANOR

Middle

UMALI

Last Name

ATIENZA-TENNISON

Suffix

Business Name

ELEANOR UMALI ATIENZA-TENNISON DO

Original Issue Date

04/27/1999

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023