PRAKASH SELVARAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

PRAKASH

Last Name

SELVARAJ

Suffix

Business Name

PRAKASH SELVARAJ MD

Original Issue Date

07/28/1998

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023