KATHRYN ELAINE TANNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124566

License Status

ACTIVE

Business

Title

First Name

KATHRYN

Middle

ELAINE

Last Name

TANNER

Business Name

KATHRYN ELAINE TANNER MD

Original Issue Date

11/03/2009

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LAS CRUCES

State

Zip

88007

Ever Disciplined

LastModifiedDate

08/01/2023