PRAKASH MOTWANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057476

License Status

CANCELLED

Business

Title

First Name

PRAKASH

Last Name

MOTWANI

Business Name

PRAKASH MOTWANI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/14/2010