PRAVEEN MOOLAMALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030573

License Status

EXPIRED

Business

First Name

PRAVEEN

Last Name

MOOLAMALLA

Suffix

Business Name

PRAVEEN MOOLAMALLA MD

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006