PALLAVI PRABHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081982

License Status

ACTIVE

Business

Title

First Name

PALLAVI

Last Name

PRABHU

Business Name

PALLAVI PRABHU MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/18/2023