SEAN PRAVIN PITRODA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059428

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

PRAVIN

Last Name

PITRODA

Business Name

SEAN PRAVIN PITRODA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

01/21/2015