MICHAEL L TENNANT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006914

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TENNANT

Suffix

Business Name

MICHAEL L TENNANT OD

Original Issue Date

10/25/1979

Expiration Date

05/01/1982

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005