NITIN TANDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152158

License Status

NOT RENEWED

Business

Title

First Name

NITIN

Last Name

TANDAN

Business Name

NITIN TANDAN MD

Original Issue Date

03/12/2020

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023