TULSI PRAVIN ROY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161868

License Status

ACTIVE

Business

Title

First Name

TULSI

Middle

PRAVIN

Last Name

ROY

Business Name

TULSI PRAVIN ROY MD

Original Issue Date

08/08/2022

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/16/2023