PRAVEEN JONNALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114304

License Status

NOT RENEWED

Business

First Name

PRAVEEN

Last Name

JONNALA

Suffix

Business Name

PRAVEEN JONNALA MD

Original Issue Date

08/02/2005

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

COSTA MESA

State

Zip

92627

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017