DAVID H TENNENBAUM Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000086

License Status

CANCELLED

Business

First Name

DAVID H

Last Name

TENNENBAUM

Business Name

DAVID H TENNENBAUM

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

03/01/2006

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006