ROSS D TANNEBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

ROSS D

Last Name

TANNEBAUM

Suffix

Business Name

ROSS D TANNEBAUM MD

Original Issue Date

03/26/1985

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023