PRASANNA VENKATESH KUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045330

License Status

EXPIRED

Business

First Name

PRASANNA

Middle

VENKATESH

Last Name

KUMAR

Suffix

Business Name

PRASANNA VENKATESH KUMAR MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006