SARITA M PRABHUDESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

SARITA

Middle

Last Name

PRABHUDESAI

Suffix

Business Name

SARITA M PRABHUDESAI MD

Original Issue Date

07/11/1985

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

HOOPESTON

State

Zip

60942

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017