ELISABETH TANDONNET Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ELISABETH

Last Name

TANDONNET

Business Name

ELISABETH TANDONNET

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/31/1987

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006