GERALD E TANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042615

License Status

NOT RENEWED

Business

First Name

GERALD E

Last Name

TANNER

Suffix

Business Name

GERALD E TANNER MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1987

City

ROSEBURG

State

Zip

97470

County

OREGON

Ever Disciplined

LastModifiedDate

02/18/2009