PRAVEEN V PARVATHALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040135

License Status

EXPIRED

Business

First Name

PRAVEEN

Middle

Last Name

PARVATHALA

Business Name

PRAVEEN V PARVATHALA

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

09/10/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006