NARAYANSWAMY V RAMA PRABHU Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

NARAYANSWAMY

Middle

Last Name

RAMA PRABHU

Business Name

NARAYANSWAMY V RAMA PRABHU

Original Issue Date

08/09/1999

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023