PRAVEEN RASTOGI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060556

License Status

INACTIVE

Business

First Name

PRAVEEN

Last Name

RASTOGI

Suffix

Business Name

PRAVEEN RASTOGI MD

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

07/31/1987

City

RIVERDALE

State

Zip

30274

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006