KANNAN PARIKH TANEJA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

KANNAN

Middle

PARIKH

Last Name

TANEJA

Business Name

KANNAN PARIKH TANEJA

Original Issue Date

09/27/2016

Effective Date

03/14/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020