N HERAMBA PRASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048811

License Status

NOT RENEWED

Business

First Name

Middle

HERAMBA

Last Name

PRASAD

Suffix

Business Name

N HERAMBA PRASAD MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/1984

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/21/2009