PRAVEEN N MATHUR MD - Medical Doctor License in Indiana | # 036144001

PRAVEEN N MATHUR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144001

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRAVEEN

Middle

N

Last Name

MATHUR

Business Name

PRAVEEN N MATHUR MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021