RAJIV K PRUTHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022480

License Status

EXPIRED

Business

Title

First Name

RAJIV

Middle

Last Name

PRUTHI

Business Name

RAJIV K PRUTHI MD

Original Issue Date

05/21/1988

Effective Date

05/21/1988

Expiration Date

07/01/1991

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/05/2013