TRINATH KURUVELLA MD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

INOPERATIVE

Business

Title

First Name

TRINATH

Last Name

KURUVELLA

Business Name

TRINATH KURUVELLA MD

Original Issue Date

02/03/2016

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/02/2018