AARON MATTHEW TANNENBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

AARON

Middle

MATTHEW

Last Name

TANNENBAUM

Suffix

Business Name

AARON MATTHEW TANNENBAUM MD

Original Issue Date

02/10/2016

Effective Date

02/10/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017