PRAVEEN KONERU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116648

License Status

NOT RENEWED

Business

First Name

PRAVEEN

Last Name

KONERU

Suffix

Business Name

PRAVEEN KONERU MD

Original Issue Date

08/01/2006

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011