PRAVEEN KONERU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

NOT RENEWED

N

PRAVEEN

KONERU

MD

PRAVEEN KONERU MD

08/01/2006

07/17/2008

07/31/2011

EVANSTON

IL

60202

COOK

II III IV V

N

11/10/2011