PAVAN MANKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153634

License Status

NOT RENEWED

Business

Title

First Name

PAVAN

Last Name

MANKAL

Business Name

PAVAN MANKAL MD

Original Issue Date

07/08/2020

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023