PRANAV DEEPAK SAKALESHPUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084990

License Status

ACTIVE

Business

Title

First Name

PRANAV

Middle

DEEPAK

Last Name

SAKALESHPUR

Business Name

PRANAV DEEPAK SAKALESHPUR MD

Original Issue Date

07/02/2024

Effective Date

07/02/2024

Expiration Date

07/01/2027

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pulmonary Disease and Critical Care Medicine

Ever Disciplined

LastModifiedDate

07/02/2024