David H Tennenbaum
InactiveIllinois license 085000086
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000086
- Status
- Inactive (Cancelled)
- First issued
- November 5, 1980
- Expired
- March 1, 2006
- License holder
- David H Tennenbaum
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 11/05/1980
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Contact
Lincolnshire, IL 60069
Lake County