ANGELA PRAKASH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114501

License Status

NOT RENEWED

Business

First Name

ANGELA

Last Name

PRAKASH

Business Name

ANGELA PRAKASH

Original Issue Date

08/26/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008