ALF MICHAEL TANNENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037157

License Status

NOT RENEWED

Business

First Name

ALF MICHAEL

Last Name

TANNENBERG

Suffix

Business Name

ALF MICHAEL TANNENBERG MD

Original Issue Date

04/21/1961

Effective Date

04/21/1961

City

BUFFALO

State

Zip

14215

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006