PRATIVA PANDEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151303

License Status

ACTIVE

Business

Title

First Name

PRATIVA

Last Name

PANDEY

Business Name

PRATIVA PANDEY MD

Original Issue Date

12/03/2019

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/05/2023