PRAVEEN N MATHUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144001

License Status

NOT RENEWED

Business

Title

First Name

PRAVEEN

Middle

Last Name

MATHUR

Business Name

PRAVEEN N MATHUR MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021