PRAVEENA TATHINENI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156225

License Status

ACTIVE

Business

Title

First Name

PRAVEENA

Last Name

TATHINENI

Business Name

PRAVEENA TATHINENI DO

Original Issue Date

03/23/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023