ANKUR PRAFULL DAVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138472

License Status

ACTIVE

Business

Title

First Name

ANKUR

Middle

PRAFULL

Last Name

DAVE

Business Name

ANKUR PRAFULL DAVE MD

Original Issue Date

06/26/2015

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2023