PRAKASH N DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

PRAKASH N

Last Name

DESAI

Suffix

Business Name

PRAKASH N DESAI MD

Original Issue Date

09/10/1990

Effective Date

09/10/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/12/2017