DAVID ALLEN TENENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

TENENBERG

Suffix

Business Name

DAVID ALLEN TENENBERG MD

Original Issue Date

04/18/1995

Effective Date

04/18/1995

Expiration Date

07/31/1996

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020