ANDREW S TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

ANDREW S

Last Name

TANNER

Suffix

Business Name

ANDREW S TANNER MD

Original Issue Date

06/13/1988

Effective Date

06/13/1988

Expiration Date

07/31/2008

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017