THANDEKA MYENI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158616

License Status

ACTIVE

Business

First Name

THANDEKA

Last Name

MYENI

Business Name

THANDEKA MYENI

Original Issue Date

10/26/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

04/06/2023