CLINT STEVEN TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

CLINT

Middle

STEVEN

Last Name

TANNER

Business Name

CLINT STEVEN TANNER MD

Original Issue Date

09/18/2018

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023