PRATHIP SIVAPRAKASAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028208

License Status

NOT RENEWED

Business

First Name

PRATHIP

Last Name

SIVAPRAKASAM

Business Name

PRATHIP SIVAPRAKASAM

Original Issue Date

02/17/2010

Effective Date

02/17/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012