J S MANAKAVALAN PRABHAKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046283

License Status

NOT RENEWED

Business

First Name

J S MANAKAVALAN

Last Name

PRABHAKAR

Suffix

Business Name

J S MANAKAVALAN PRABHAKAR MD

Original Issue Date

08/17/1972

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

11/30/2023