ALAN JOHN TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

JOHN

Last Name

TANNER

Suffix

Business Name

ALAN JOHN TANNER MD

Original Issue Date

03/13/2000

Effective Date

03/13/2000

Expiration Date

07/31/2002

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006