TANYA PRAVIN PITRODA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050430

License Status

CANCELLED

Business

First Name

TANYA

Middle

PRAVIN

Last Name

PITRODA

Suffix

Business Name

TANYA PRAVIN PITRODA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006