PRAKASH MISHRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

PRAKASH

Last Name

MISHRA

Business Name

PRAKASH MISHRA MD

Original Issue Date

09/18/2018

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023