PRABHAKARA SOMAYAJI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

PRABHAKARA

Last Name

SOMAYAJI

Suffix

Business Name

PRABHAKARA SOMAYAJI MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006