ROBERT MATTHEW TENNILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

MATTHEW

Last Name

TENNILL

Business Name

ROBERT MATTHEW TENNILL MD

Original Issue Date

02/14/2018

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023