PRANAV WASTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

PRANAV

Last Name

WASTI

Business Name

PRANAV WASTI MD

Original Issue Date

10/10/2024

Effective Date

10/10/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/10/2024