SURESH PRASAD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035175

License Status

CANCELLED

Business

First Name

SURESH

Last Name

PRASAD

Business Name

SURESH PRASAD

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006