PAVAN KUMAR TIYYAGURA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136097

License Status

INACTIVE

Business

Title

First Name

PAVAN

Middle

KUMAR

Last Name

TIYYAGURA

Business Name

PAVAN KUMAR TIYYAGURA MD

Original Issue Date

07/31/2014

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/05/2020