PRABHA BASTIAN RAJAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108172

License Status

ACTIVE

Business

First Name

PRABHA

Middle

BASTIAN

Last Name

RAJAN

Suffix

Business Name

PRABHA BASTIAN RAJAN MD

Original Issue Date

11/18/2002

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023