ROOPASHREE PRABHUSHANKAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057274

License Status

EXPIRED

Business

First Name

ROOPASHREE

Last Name

PRABHUSHANKAR

Business Name

ROOPASHREE PRABHUSHANKAR

Original Issue Date

12/30/2009

Effective Date

12/30/2009

Expiration Date

12/29/2012

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/20/2013