PRIYANKA PRAVIN PITRODA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

PRIYANKA

Middle

PRAVIN

Last Name

PITRODA

Business Name

PRIYANKA PRAVIN PITRODA MD

Original Issue Date

06/21/2019

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023