MADHAV PRAKASH UPADHYAYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

MADHAV

Middle

PRAKASH

Last Name

UPADHYAYA

Business Name

MADHAV PRAKASH UPADHYAYA MD

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020