PRATHIP SIVAPRAKASAM - Dentist License in Illinois | # 019028208

PRATHIP SIVAPRAKASAM

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028208

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012