PALLAVI PRADEEP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070218

License Status

EXPIRED

Business

Title

First Name

PALLAVI

Last Name

PRADEEP

Business Name

PALLAVI PRADEEP MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020