PRAVEEN JONNALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

PRAVEEN

Last Name

JONNALA

Suffix

Business Name

PRAVEEN JONNALA MD

Original Issue Date

10/11/2005

Effective Date

10/11/2005

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/11/2017