SOUMIYA PRAKASAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050901

License Status

EXPIRED

Business

First Name

SOUMIYA

Last Name

PRAKASAM

Suffix

Business Name

SOUMIYA PRAKASAM MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009