TANAY JAGDISH AMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

TANAY

Middle

JAGDISH

Last Name

AMIN

Business Name

TANAY JAGDISH AMIN MD

Original Issue Date

02/26/2014

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017