MADHAN PRABHAKARAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059177

License Status

EXPIRED

Business

First Name

MADHAN

Last Name

PRABHAKARAN

Suffix

Business Name

MADHAN PRABHAKARAN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015