PRABHAVATHI NAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046284

License Status

NOT RENEWED

Business

First Name

PRABHAVATHI

Last Name

NAMA

Suffix

Business Name

PRABHAVATHI NAMA MD

Original Issue Date

08/18/1972

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014