PRAVEEN KUMAR MULLANGI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

PRAVEEN

Middle

KUMAR

Last Name

MULLANGI

Business Name

PRAVEEN KUMAR MULLANGI

Original Issue Date

04/23/2008

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023