PRABHU SHIVALINGAPPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

PRABHU

Last Name

SHIVALINGAPPA

Suffix

Business Name

PRABHU SHIVALINGAPPA MD

Original Issue Date

11/22/1996

Effective Date

11/22/1996

Expiration Date

07/31/1999

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020