MADELINE EMELIA TENNANT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006588

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

EMELIA

Last Name

TENNANT

Business Name

MADELINE EMELIA TENNANT

Original Issue Date

05/14/2018

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025