LAWRENCE PRADEEP PRABHAKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098121

License Status

ACTIVE

Business

Title

First Name

LAWRENCE PRADEEP

Last Name

PRABHAKAR

Business Name

LAWRENCE PRADEEP PRABHAKAR MD

Original Issue Date

06/29/1998

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/02/2023