JENNIFER TANGORA VIRANT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

TANGORA

Last Name

VIRANT

Business Name

JENNIFER TANGORA VIRANT

Original Issue Date

04/11/2002

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023