PRAVEENA ANN THOMAS

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****47

ACTIVE

N

PRAVEENA

ANN

THOMAS

PRAVEENA ANN THOMAS

03/18/2009

02/17/2026

03/01/2028

GURNEE

IL

60031

LAKE

II III IV V

N

02/17/2026