GNANAGURUDASAN PRAKASAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031913

License Status

EXPIRED

Business

First Name

GNANAGURUDASAN

Last Name

PRAKASAM

Business Name

GNANAGURUDASAN PRAKASAM

Original Issue Date

06/22/1994

Effective Date

06/22/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006