RENU TANEJA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005572

License Status

NOT RENEWED

Business

First Name

RENU

Last Name

TANEJA

Business Name

RENU TANEJA

Original Issue Date

07/23/2015

Effective Date

01/27/2020

Expiration Date

03/01/2022

City

WHITE PLAINS

State

Zip

10607

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022