STEPHANIE TENNERY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

TENNERY

Business Name

STEPHANIE TENNERY

Original Issue Date

08/14/1996

Effective Date

08/14/1996

Expiration Date

07/31/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020