PRAVIN K MUNIYAPPA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

PRAVIN

Middle

Last Name

MUNIYAPPA

Suffix

Business Name

PRAVIN K MUNIYAPPA MD

Original Issue Date

01/11/2002

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023