PRAVEEN DESHMUKH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033724

License Status

EXPIRED

Business

First Name

PRAVEEN

Last Name

DESHMUKH

Business Name

PRAVEEN DESHMUKH

Original Issue Date

07/01/1995

Effective Date

07/01/1995

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/11/2018