PRAVEEN KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089967

License Status

ACTIVE

Business

First Name

PRAVEEN

Last Name

KUMAR

Suffix

Business Name

PRAVEEN KUMAR MD

Original Issue Date

12/05/1994

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/14/2023