TANYA WATTS KRISTOF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071219

License Status

CANCELLED

Business

Title

First Name

TANYA

Middle

WATTS

Last Name

KRISTOF

Business Name

TANYA WATTS KRISTOF MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/08/2018