NITIN TANDAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073449

License Status

CANCELLED

Business

Title

First Name

NITIN

Last Name

TANDAN

Business Name

NITIN TANDAN MD

Original Issue Date

01/01/2019

Effective Date

01/01/2019

Expiration Date

12/31/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/05/2018