JOHN KENNEDY TANNOUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

KENNEDY

Last Name

TANNOUS

Business Name

JOHN KENNEDY TANNOUS MD

Original Issue Date

11/05/2012

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97220

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023