SHIVANA G PRAKASH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023147

License Status

EXPIRED

Business

First Name

SHIVANA G

Last Name

PRAKASH

Business Name

SHIVANA G PRAKASH

Original Issue Date

09/01/1988

Effective Date

09/01/1988

Expiration Date

08/30/1991

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006