THARIMALA V PRATHIBHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

THARIMALA V

Last Name

PRATHIBHA

Suffix

Business Name

THARIMALA V PRATHIBHA MD

Original Issue Date

08/24/1988

Effective Date

07/31/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023