LAWRENCE PRADEEP PRABHAKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

LAWRENCE PRADEEP

Last Name

PRABHAKAR

Business Name

LAWRENCE PRADEEP PRABHAKAR MD

Original Issue Date

06/30/1998

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023