CORAZON A PRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045030

License Status

NOT RENEWED

Business

First Name

CORAZON A

Last Name

PRAKASH

Suffix

Business Name

CORAZON A PRAKASH MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

City

CHICAGO

State

Zip

60680

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006