LAXMI PRASAD DHAKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

LAXMI

Middle

PRASAD

Last Name

DHAKAL

Business Name

LAXMI PRASAD DHAKAL MD

Original Issue Date

04/03/2013

Effective Date

04/03/2013

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014