SHAWN W TENHOUSE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

TENHOUSE

Suffix

DPM

Business Name

SHAWN W TENHOUSE DPM

Original Issue Date

06/01/1994

Effective Date

01/17/2019

Expiration Date

01/31/2021

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021