PRAKASH THOPAIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

PRAKASH

Last Name

THOPAIAH

Suffix

Business Name

PRAKASH THOPAIAH MD

Original Issue Date

06/30/1988

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

GIBSON CITY

State

Zip

60936

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021