PRERAK M DOCTOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021687

License Status

EXPIRED

Business

First Name

PRERAK M

Last Name

DOCTOR

Suffix

Business Name

PRERAK M DOCTOR MD

Original Issue Date

08/19/1987

Effective Date

08/19/1987

Expiration Date

08/12/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006