PAVAN Y R PRASAD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060407

License Status

CANCELLED

Business

Title

First Name

PAVAN

Middle

Y R

Last Name

PRASAD

Business Name

PAVAN Y R PRASAD MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/27/2014