PRASHANTH SINGANALLUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075451

License Status

CANCELLED

Business

Title

First Name

PRASHANTH

Last Name

SINGANALLUR

Business Name

PRASHANTH SINGANALLUR MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/02/2020