PRAVEEN P TIPIRNENI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

PRAVEEN P

Last Name

TIPIRNENI

Business Name

PRAVEEN P TIPIRNENI

Original Issue Date

03/03/1998

Effective Date

03/03/1998

Expiration Date

07/31/2005

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006