KANNAN PARIKH TANEJA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005844

License Status

NOT RENEWED

Business

First Name

KANNAN

Middle

PARIKH

Last Name

TANEJA

Business Name

KANNAN PARIKH TANEJA

Original Issue Date

06/22/2016

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022