TRINATH KURUVELLA MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005489

License Status

NOT RENEWED

Business

Title

First Name

TRINATH

Last Name

KURUVELLA

Business Name

TRINATH KURUVELLA MD

Original Issue Date

06/19/2015

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

AURORA

State

Zip

60502

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018