RENU TANEJA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

RENU

Last Name

TANEJA

Business Name

RENU TANEJA

Original Issue Date

11/19/2015

Effective Date

02/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020