PRAVEEN V PARVATHALA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108106

License Status

ACTIVE

Business

First Name

PRAVEEN

Middle

Last Name

PARVATHALA

Business Name

PRAVEEN V PARVATHALA

Original Issue Date

10/31/2002

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

07/17/2023