PRAKASH G SANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047348

License Status

NOT RENEWED

Business

First Name

PRAKASH G

Last Name

SANE

Suffix

Business Name

PRAKASH G SANE MD

Original Issue Date

04/23/1973

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021