KAVITHA KRISHNA PRABAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125914

License Status

NOT RENEWED

Business

Title

First Name

KAVITHA

Middle

KRISHNA

Last Name

PRABAKER

Business Name

KAVITHA KRISHNA PRABAKER MD

Original Issue Date

06/04/2010

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014