MICHAEL L TENNANT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932213

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

TENNANT

Suffix

Business Name

MICHAEL L TENNANT OD

Original Issue Date

05/05/2006

Effective Date

05/05/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008