KRISHNA SMRITI TANEJA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077428

License Status

CANCELLED

Business

Title

First Name

KRISHNA

Middle

SMRITI

Last Name

TANEJA

Business Name

KRISHNA SMRITI TANEJA MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/12/2021