PRABHA JAYAPRAKA NAIR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

PRABHA JAYAPRAKA

Last Name

NAIR

Suffix

Business Name

PRABHA JAYAPRAKA NAIR MD

Original Issue Date

09/11/1996

Effective Date

09/11/1996

Expiration Date

07/31/2008

City

WILMINGTON

State

Zip

60481

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008