MANJESHWAR B PRABHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

MANJESHWAR B

Last Name

PRABHU

Suffix

Business Name

MANJESHWAR B PRABHU MD

Original Issue Date

07/17/1992

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023