CLAYRE EVANGELINE TANIS-ARENS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

CLAYRE

Middle

EVANGELINE

Last Name

TANIS-ARENS

Business Name

CLAYRE EVANGELINE TANIS-ARENS DO

Original Issue Date

11/16/2016

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021