PRAVIN J KANSAGRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016114

License Status

EXPIRED

Business

First Name

PRAVIN J

Last Name

KANSAGRA

Suffix

Business Name

PRAVIN J KANSAGRA MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006