PRAVEEN KUMAR MULLANGI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120667

License Status

ACTIVE

Business

First Name

PRAVEEN

Middle

KUMAR

Last Name

MULLANGI

Business Name

PRAVEEN KUMAR MULLANGI

Original Issue Date

04/21/2008

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/10/2023