NEKAIYA JACOBS PRATT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

NEKAIYA

Middle

JACOBS

Last Name

PRATT

Business Name

NEKAIYA JACOBS PRATT

Original Issue Date

07/12/2023

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023