ANDREA GAIL TENNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119235

License Status

INACTIVE

Business

First Name

ANDREA

Middle

GAIL

Last Name

TENNER

Suffix

Business Name

ANDREA GAIL TENNER MD

Original Issue Date

08/21/2007

Effective Date

06/03/2008

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10032

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/07/2011