PRABHAV VASUDEV KENKRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

PRABHAV

Middle

VASUDEV

Last Name

KENKRE

Suffix

Business Name

PRABHAV VASUDEV KENKRE MD

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/10/2011