DONALD J TANIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

DONALD J

Last Name

TANIS

Suffix

Business Name

DONALD J TANIS MD

Original Issue Date

08/26/2002

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023