MICHAEL L TENNANT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106914

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TENNANT

Suffix

Business Name

MICHAEL L TENNANT OD

Original Issue Date

09/04/1980

Expiration Date

05/01/1982

City

HIGHLAND PARK

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005