PRAKASH N DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046878

License Status

NOT RENEWED

Business

First Name

PRAKASH N

Last Name

DESAI

Suffix

Business Name

PRAKASH N DESAI MD

Original Issue Date

02/07/1973

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017