MICHAEL L TENNANT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TENNANT

Suffix

Business Name

MICHAEL L TENNANT OD

Original Issue Date

05/07/1996

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016