PRABHAVATHI NAMA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005014

License Status

NOT RENEWED

Business

Business Name

PRABHAVATHI NAMA MD SC

Original Issue Date

02/10/1982

Effective Date

02/10/1982

Expiration Date

01/01/1989

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2009