ANITA PRAKASH VIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055905

License Status

EXPIRED

Business

First Name

ANITA

Middle

PRAKASH

Last Name

VIN

Suffix

Business Name

ANITA PRAKASH VIN MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/07/2013