SUDHA G PRASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

SUDHA G

Last Name

PRASAD

Suffix

Business Name

SUDHA G PRASAD MD

Original Issue Date

06/07/1990

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023