NEKAIYA JACOBS PRATT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061424

License Status

EXPIRED

Business

First Name

NEKAIYA

Middle

JACOBS

Last Name

PRATT

Business Name

NEKAIYA JACOBS PRATT

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015