ANITA MALKANI PRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

MALKANI

Last Name

PRAKASH

Suffix

Business Name

ANITA MALKANI PRAKASH MD

Original Issue Date

04/11/2002

Effective Date

04/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006