TANYA WATTS KRISTOF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

TANYA

Middle

WATTS

Last Name

KRISTOF

Business Name

TANYA WATTS KRISTOF MD

Original Issue Date

06/23/2020

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023