SUDHA PRAVINKUMAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052225

License Status

CANCELLED

Business

First Name

SUDHA

Last Name

PRAVINKUMAR

Suffix

Business Name

SUDHA PRAVINKUMAR MD

Original Issue Date

06/19/2007

Effective Date

06/19/2007

Expiration Date

06/18/2010

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/07/2007