PRASHANTH PORAYETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138514

License Status

ACTIVE

Business

Title

First Name

PRASHANTH

Last Name

PORAYETTE

Business Name

PRASHANTH PORAYETTE MD

Original Issue Date

06/30/2015

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/05/2023