JOHN RAYMOND TANNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

RAYMOND

Last Name

TANNER

Suffix

Business Name

JOHN RAYMOND TANNER OD

Original Issue Date

02/15/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005