TRITON JOSEPH KRIZENESKY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073840

License Status

EXPIRED

Business

Title

First Name

TRITON

Middle

JOSEPH

Last Name

KRIZENESKY

Business Name

TRITON JOSEPH KRIZENESKY MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022