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| Name | TANNEN RICHARD C |
|---|---|
| Address | MOLINEIL |
| Profession | MEDICINE |
| License No | 119957 |
| Date of Licensure | 05/13/74 |
| Additional Qualification | |
| Status | NOT REGISTERED |
| Registered through last day of | |
| Medical School | UNIVERSITY OF IOWA |
| Degree Date | 05/01/1972 |