SRIDHAR B PRASAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070330

License Status

INACTIVE

Business

First Name

SRIDHAR

Middle

Last Name

PRASAD

Suffix

Business Name

SRIDHAR B PRASAD MD

Original Issue Date

04/15/1985

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/06/2014

Case Number

2014005668

Action

Refuse To Renew

Discipline Start Date

07/28/2014

Discipline Reason

for sister-state discipline in the state of Iowa.