PRITHVI BALAJI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085602

License Status

ACTIVE

Business

Title

First Name

PRITHVI

Last Name

BALAJI

Business Name

PRITHVI BALAJI MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

BLOOMINGTON

State

Zip

61701

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/30/2025