PRAVEEN P TIPIRNENI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096286

License Status

NOT RENEWED

Business

First Name

PRAVEEN P

Last Name

TIPIRNENI

Business Name

PRAVEEN P TIPIRNENI

Original Issue Date

08/05/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008