NAVEEN KIZHAKKAYIL TENCY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083853

License Status

ACTIVE

Business

Title

First Name

NAVEEN

Last Name

KIZHAKKAYIL TENCY

Business Name

NAVEEN KIZHAKKAYIL TENCY MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/21/2024