S SIVAPRAKASAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

Last Name

SIVAPRAKASAM

Suffix

Business Name

S SIVAPRAKASAM MD

Original Issue Date

06/22/1990

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023