KAVITHA KRISHNA PRABAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

KAVITHA

Middle

KRISHNA

Last Name

PRABAKER

Business Name

KAVITHA KRISHNA PRABAKER MD

Original Issue Date

09/13/2010

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014