PRABHUNANDAN F HIREMATH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

PRABHUNANDAN

Middle

Last Name

HIREMATH

Business Name

PRABHUNANDAN F HIREMATH

Original Issue Date

01/25/2001

Effective Date

01/25/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006