CHANDUPATLA PRABHAKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056832

License Status

NOT RENEWED

Business

First Name

CHANDUPATLA

Last Name

PRABHAKAR

Suffix

Business Name

CHANDUPATLA PRABHAKAR MD

Original Issue Date

06/15/1978

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/14/2021