PRAKASH SIDHA JAYABALAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

PRAKASH

Middle

SIDHA

Last Name

JAYABALAN

Business Name

PRAKASH SIDHA JAYABALAN MD

Original Issue Date

06/13/2016

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023