License holder summary

JACK E TANNER is a Medical Doctor (Md) - Medical Doctor Educational Limited licensed to practice in Michigan. The address on file for JACK E TANNER is Southfield, MI 48037.

Michigan

Department of Licensing and Regulation

JACK E TANNER
Medical Doctor (Md) - Medical Doctor Educational Limited
License number
4301402354
Date expires
06/30/1982
Class
Medical Doctor (Md) - Medical Doctor Educational Limited
Status
Lapsed
Address
Southfield, MI 48037
michiganlicensing.org
ID 25794956
LAST UPDATED 2024-05-10 06:30:27 UTC

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