HOSUR SIDDANNA JAYAPRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052150

License Status

NOT RENEWED

Business

First Name

HOSUR SIDDANNA

Last Name

JAYAPRAKASH

Suffix

Business Name

HOSUR SIDDANNA JAYAPRAKASH MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006