S SIVAPRAKASAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052320

License Status

ACTIVE

Business

First Name

Last Name

SIVAPRAKASAM

Suffix

Business Name

S SIVAPRAKASAM MD

Original Issue Date

01/16/1976

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/19/2023