PRABHUNANDAN F HIREMATH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037027

License Status

EXPIRED

Business

First Name

PRABHUNANDAN

Middle

Last Name

HIREMATH

Business Name

PRABHUNANDAN F HIREMATH

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/2000

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006