SEAN PRAVIN PITRODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

SEAN

Middle

PRAVIN

Last Name

PITRODA

Business Name

SEAN PRAVIN PITRODA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020