PRABHAV PRAVIN DEO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071719

License Status

EXPIRED

Business

Title

First Name

PRABHAV

Middle

PRAVIN

Last Name

DEO

Business Name

PRABHAV PRAVIN DEO MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/11/2022