TANYA PRAVIN PITRODA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

TANYA

Middle

PRAVIN

Last Name

PITRODA

Suffix

Business Name

TANYA PRAVIN PITRODA MD

Original Issue Date

07/15/2008

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023