SANJIV V PRABHU MD - Medical Doctor License in Kansas | # 125055292

SANJIV V PRABHU MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055292

License Status

CANCELLED

Business

N

Title

MD

First Name

SANJIV

Middle

V

Last Name

PRABHU

Business Name

SANJIV V PRABHU MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

State

KS

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

06/13/2008