MIRAMAR S PRASAD MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

INOPERATIVE

Business

First Name

MIRAMAR S

Last Name

PRASAD

Suffix

Business Name

MIRAMAR S PRASAD MD

Original Issue Date

01/29/1993

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023