MICHAEL L TENNANT OD

Business Entity
NOT RENEWED

Optometrist

LICENSED OPTOMETRIST ANCILLARY OFFICE

047606914

NOT RENEWED

N

MICHAEL

L

TENNANT

OD

MICHAEL L TENNANT OD

03/28/1987

03/31/1988

EVANSTON

IL

60201

COOK

N

09/01/2005