RAVI K PRAKASH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

RAVI

Middle

Last Name

PRAKASH

Business Name

RAVI K PRAKASH MD

Original Issue Date

05/15/2015

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023