PAUL TANNOUS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****23

NOT RENEWED

N

MD

PAUL

TANNOUS

PAUL TANNOUS MD

05/16/2017

05/16/2017

09/30/2020

BOSTON

MA

02215

MASSACHUSETTS

PRACTITIONER

II III IV V

N

01/14/2021